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Re: Thalium (sp)

Posted By Judy on August 10, 1998 at 13:40:46:

In Reply to: Re: Thalium (sp) posted by CCF CARDIO MD - MTR on August 07, 1998 at 14:57:30:

My husband, who has been working 10 hour days in this ungodly heat all summer, has been having some chest discomfort and an ocassion he actually called "chest pain".  He called and talked to his doctor, which he is hesitant to do at times because he doesn't want to end up in th ER or checked in to the hospital (again).  However, he did call and they have scheduled him for another Thalium test.  Seems like he has one of these every other month, but I would expect that this is the way to be safe and not sorry?  I do no trust EKG's in his case and fortunately his docs don't either.  Should I be concerned that he has so many Thalium test a year?
Are they trying to tell us something?  

Dear Judy, with the information provided, it's hard for me to determine why
your husband has had so many thallium tests performed this year.  I would need
to know the results of his previous thallium tests, whether he had a cardiac
catheterization performed, and more information about his symptoms of chest pain.
I suspect that his symptoms may have changed and that his previous thallium tests
may not have been conclusive.  Thallium tests are accurate only 80-85% of the time
in the best case scenario so there may be some ambiguity after a thallium test
depending on the results.  A cardiac catheterization is the "gold-standard" test
to identify coronary artery disease and may be a useful test in your husband's
case.  Thus, I suggest that you have a frank discussion with his cardiologist
to determine what the next step will be and what information has already been
gathered from his thallium tests.  If you have more information, please feel
free to write back and I'll try to provide more information.  
Information provided in the heart forum is for general purposes only.  Specific
diagnoses and therapies can only be provided by your physicians.
Sir, my husband is 46, had a heart attack and double bypass surgery when he had just turned 42.  Horrible family history and genetics.  Healthy as a horse and in fabulous shape otherwise.   Is on all the latest meds and had a stent put in about four months ago.  All of his other  (latest) Thalium tests have looked "normal".  His cholesterol (also LDL's) has gone up since being on increased dosages of Lipidor (sp)--at least I think that's the one.  He has had quite a few heart cath's and angiograms over the past 4 years, and then the stsent.  As I understand it, if the Thallium doesn't look normal or good they will proceed with an angiogram?  My husband is so tired of all of this and it freaks me out.
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