Heart & Cardiology/abnormal stress test
QUESTION: I have had issues with heart palps for a few years. I have seen several cardiologists and many tests done including a nuclear stress test about 2 years ago which was normal. An event monitor showed PACs. I had a stress test last week that was abnormal and my dr wants to follow up with a stress echo on June 10 but I have anxiety issues and the wait is killing me. I saw another cardiologist today for another opinion and he said either a stress echo needs to be done or a nuclear stress. He is leaving the decision to me. I have no idea what to do. I just want something done. Thoughts?
ANSWER: Hello Noreen,
Either stress echo or stress nuclear is fine.
The indication for intervention with balloon angioplasty or surgical bypass is pain you don't want to put up with. Medical treatment with aspirin, a statin and a beta blocker is as effective in preventing heart attack or cardiac death as is angioplasty or CABG. Please ask the cardiologist why they want a fancy stress test. Are they considering angioplasty or CABG? I don't think you need intervention unless you have chest discomfort.
Please write back if this note doesn’t answer all your questions.
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QUESTION: I do have cheat discomfort. Neither doctor mentioned either of those procedures. Just the need for another stress test. I am already on Metoprolol 50mg twice a day and aspirin. Now you really have me worried! Which of the stress tests should I have done?
Either one if fine. Personally, I can see radioisotope scans better, but either test will do the job. Please let me know what you find out, and tell me more about your chest discomfort. Only with exercise? Where in chest? Is it modified by pressing on the uncomfortable area?