st depression

[JUSTCAUSE]

I had a stress test a few days ago and it was only slightly abnormal, but do to the fact my brother had a heart attack at 43 i was told we would just skip anymore test and go start to the heart cath is this normal and what really is st dpression?


This discussion is related to Asymptomatic ST-depression and operation.

[kenkeith]

I would get a second opinion, and treat the problem of stress.  Rather than an evasive  cath, a ct angiogram is a better option if you want peace of mind and a reference for any future tests.

[JUSTCAUSE]

I have no pain with exertion, have not been put on any meds as of yet, the only time I have ever had any pain is when I feel stressed  (I have 2 teenagers) :) this procedure is scheduled for this coming Monday and I am having second thoughts about going ahead with the cath, do you think I should get a second opinion and the funny thing i'm a nurse!!! but i've only worked ob/gyn for the last 15years so i'm not familiar with all the aspects of the heart.

[kenkeith]

ST depression is an often an indication of partial occlusion of a coronary artery but not conclusive.  If you are going for heart cath, be prepared to accept a stent included with the test (more money).  AHA/AAC guidelines recommend a stent implant if the occlusion is greater than 70%.  There are cardiologists that stent occlusions less than 70%!!

Family history is considered a risk, but to go for a cath based on that risk only is usually not a consideration and doesn't follow the AHA/AAC guidelines.  If you have angina with exertion, does medication provide relief?  If it does provide relief, that indicates your arteries are dilated with mediation and a decision for a cath should take that into consideration.