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nuclear stress test result question?

Yesterday i had the nuclear med stress test.  My blood pressure was 146/94 resting prior to the treadmill portion of the test.  I realize that is high.  My resting heart rate was 77 (good).  My target heart rate was 160, and the treadmill adjusted in 3 minute intervals to the 9 minutes mark when I reached my target rate of 160.  I was at a brisk walk, not a run.  I couldn't speak, breathe, or walk and was shaking.  My blood pressure reached 180/120.  I realize during cardio exercise the 180 is not concerning, but I've been told that the diastolic # should not have gone up by more than a couple of numbers.  Mine went from 94 to 120...  is this a concerning result?
Regardless I realize that 9 mins of walking to a brisk point shouldn't have me out of breath soo badly.  I realize that result tells me how out of shape I am.  But my question still remains should it have gone from 94 to 120 having reached my target heart rate?

3 Responses
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242508 tn?1287423646
MEDICAL PROFESSIONAL
No.  That diastolic pressure is dangerously high but I think that it probably is a sign of your deconditioning and underlying HTN.  If you begin to exercise and eat well the blood pressure problem may resolve because at baseline ( 146 systolic) your pressure isn't all that high.  I have definitely seen worse.    
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Avatar universal
Hi Lisa,
I'm not sure how to interpret the results.  I don't have any of my particulars of the imaging resting or stressed.  
I had the stress test after walking into a walkin clinic complaining that I couldn't get my heart to slow down and felt my blood pressure was quite high.  At the onset of this episode, my bp was 154/110.  I have been higher than the 154 but did not realize that the bottom # is "dangerously" high over 110.  It was 154/111 in both arms in the clinic and my resting heart rate was 105.  I looked sunburnt and hadn't been able to eat in 3 days, nausea, vomitting and heartburn.  On the fifth day i woke up still with my heart pounding and feeling unwell and with a squeezing sensation left of my left breast.  I also have had a bad rash (round raised red hive like sores that don't hurt or itch, they're just there). The clinic gave me nitro spray and baby aspirin and sent me by ambulance to the er at a local hospital.  I stayed 2 days in the er under monitor.  They gave me more nitro and pottasium which improved some areas on the ekg but not an area that showed strain or the other term they used heart depression.  The rash went away while i was in the hospital although that is weird because I have had it for months.  Related to potassium deficiency?  I don't know what my potassium result was but they said I was extremely deficient.  I had the ecco done on the 2nd day in e.r. and it shows injury from hypertension and thinning of the arteries and a murmur that I really don't know much about but i know I have had it a long time.  I don't know what the #'s were other than my bp and heart rate.
At the stress test, i skipped once in the 9 minutes, my heart rate reached the goal of 160, but I was unbelievable ill and shaking and its my bp that I wonder about.
A few days ago I had the halter monitor and journaled all the speed ups and pounding that my heart does over the course of a day.
I don't really know what to think.
Helpful - 0
967168 tn?1477584489
I had a stress test done last year and you must close to me in age because our target HR's are close.  I'm interested to see what your response will be because I've been told & read 2 different things.

My BP went from 130/70 - 150/90; and hr from 74 - 154 in 4:55 and my doctor told me that was fine and nothing to be concerned about, what did your doctor say?

I had increased Dyspnea was noted with exercise stress as well as increasing dizziness, nausea was noted in recovery when they stopped the test.

I also had  Frequent pvc's - 2 PVC couplets and 1 PVC triplet in recovery and Sinus Tachycardia with no signifiant ST-T wave changes; plus my QRS segment of PVC's narrowed substantially with exercise, widening again in recovery (180 ms to 80 ms) which I have yet a year later found out what this all means :P
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