Age 69, Wt 143,ht5'4", I went for routine cardio evaluation which I do due to poor family history, high cholesterol225-(now258without meds, HDL 90), &mvp.
An echo stress with definity showed abnormal EKG with St-depression consistent with anterior ischemia. MD said he could treat me medically (I can't take statins & was just taken off zetia & NIASPAN after over 7 years, due to generalized pain) or do a cath which he'd prefer. Echo showed abnormal wall movement. Had slight dizziness & s.o.a. But no pain. Report stated "slow", walked 7:14
Stage 1...3 min- HR 101 &bp 140/80
Stage 2...3 min.-HR 122. 160/80
Stage 3....1:14 min..HR 146
Had a 1mm depressed ST, got a headache , soa
Called a tecnically difficult exam w/ 1.5 ml Definity. Described it as moderate work load.
Then in Cleveland....,
2weeks later a stage 3 Bruce protocol stress EKG in cleveland , was called normal, with 91% of predicted max HR, univocal pac's& pvc's during test. Function capacity at 9 METS. Ejection faction 60%. am on no meds.
To cath or not to cath? What am I to think?
What am I to conclude?