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Is shortness of breath due to this ischemia?

  Dear Dr.
  Test results from sept,98 posted to you on 12/4 (hypokinesis).  This is the
  last test my husband had done.  Jan is now 10 mos from his MI, and 4 mos
  from his last test.  He is always short of breath.  walking and talking on
  the phone, you can hear him huffing.  This doesn't seem normal.  Is this the
  ischemia shown on this test doing this. He wasn't huffing this much back in
  sept when he had the test.  I want him to call his dr. He doesn't like to
  complain to her. What is the normal precedure in the aftercare of MI as to
  stress test, echo's, angiograms, like every how many months?  He has a stent,
  he usually see's her every three mos, but on the dec. check up she didn't
  do any of these tests, his complaint at that time was the neck pressure and
  palpitation and was on the 24 hr monitor, he never did the two week one because
  the neck pressure went away, and the palps are only on occasion and again he
  doesn't want to seem like a complainer. Please look at the posting from 12/4
  That 201 thallium test was done sept.(6 mos. after MI). I know you said the
  results were consistent with a recent MI, but shouldn't there be more
  improvement in 6 mos. Could this ischemia get worse? and should he be
  getting another stress test or echo soon. Thankyou for all your information
  and help.  Laura  
Dear Laura,
Thank you for your question. Unfortunately it deals more with patient management and is really beyond the scope of this forum.  These are all excellent questions and they do need to be addressed by his doctor.  There are many different reasons he could be having the shortness of breath including ischemia, heart failure and lung problems.  Encourage him to follow-up on these things with his doctor and not to worry that he is complaining.  Doctors want to hear what the problems are with their patients and then seek appropriate therapy.  Good luck.
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies.  Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.  The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.

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