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Is Heart MRI Advisable After Getting Normal ECHO And Holter Monitor Test Result?

Posted on Tue, 21 Jul 2015

Question: hello Sukhvindarji. I went to electrophoresis and show him my reports, the one with abnormal reading in holter monitor and second with normal in holter. I also show him stress report and eco which was normal. He suggested to do Heart mri to see any structural heart problem.

Sir is it necessary ?

If you required reports a I can re attach them.

please suggest

Answered by Dr. Sukhvinder Singh (1 hour later)

Brief Answer:
does not warrant any further testing

Detailed Answer:
Dear XXXXXXX
I re-read our previous discussions. I hope you do not have any symptoms now and there is no recent change in your clinical status. As per the information you never had sudden loss of consciousness/ blackout/ unexplained fall.
1. As per literature, in absence of any symptoms due to ventricular tachycardia, mere presence of a few VPCs or a short run of non-sustained ventricular tachycardia at rate of ~100 beats per minute for 4-5 beats (which was asymptomatic) does not warrant any further testing, once the stress test and ECHO of patient are normal.
2. Standard indications of MRI do not include evaluation for structural heart diseases in patients without symptoms with normal ECHO and stress test. For detailed information please read the following article
http://www.escardio.org/Guidelines-&-Education/Journals-and-publications/ESC-journals-family/E-journal-of-Cardiology-Practice/Volume-6/Clinical-Utilities-of-cardiac-MRI#toc0
This discussion pertains to a general patient with a profile as given. At times there are clinical indicators which can not be evaluated here. You can discussed with your cardiologist about the indication of MRI in your case, especially in light of above facts. You can ask him about the benefits, probability of picking disease and suspicion of disease in light of above facts.
Feel free to discuss further.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sukhvinder Singh (32 hours later)

Sir, this doctor is different one from the last.

Last Cardiologist redone all test with stress test and told nothing to worry. I need to get my stress level down by yoga and dyaan.

Now this doctor implanted this MRI in my mind and sir made my life hell. I m in to depression and very worried. I things in mind like suddenly my hear will stop functioning and I will ......

Answered by Dr. Sukhvinder Singh (2 hours later)

Brief Answer:
please see details

Detailed Answer:
Dear XXXXXXX
Can you tell me that why did you go to this second cardiologist, once your first cardiologist assured you that there is nothing wrong? Did you have any new problem?
I have already expressed my opinion regarding MRI in first reply.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (7 minutes later)

Sir, The doctor prescribed me prolomatxl 25 4 years back this was his suggestion. I had bad light fever and gold because of weather change. I went to him in this topic he asked that other medications are going on then I tell him what happened he suggested that I should take opinion of this elecph.. This was the reason sir. I said this doctor I have been advise to stop this medicine and ask for your opinion. Then he put me in to this

Answered by Dr. Sukhvinder Singh (8 minutes later)

Brief Answer:
relax. do not panic.

Detailed Answer:
Dear XXXXXXX
I have already detailed you that when and why we get a cardiac MRI done. I also sent you a link for same (for you to read).
Do not panic. Consult another good cardiologist, preferably at a medical college.
Relax. Too much of stress is bad for your health.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (3 minutes later)

sir is electrophoresiologyst view is so important in this case ? as cardiologist conduct test and said nothing to worry.

Answered by Dr. Sukhvinder Singh (9 hours later)

Brief Answer:
please see details

Detailed Answer:
Dear XXXXXXX
Yes. I agree with you. Once the cardiologist has said that everything is fine, there should not be further inquiries. I also agree with his opinion. However since you have gone to an electro physiologist and a doubt has been created, the visit to another cardiologist/ electro physiologist will clear that doubt.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (1 hour later)

sir, thank you for the help again. Sir do you see anything dangerous in my case which is life threatening.

Answered by Dr. Sukhvinder Singh (6 minutes later)

Brief Answer:
no

Detailed Answer:
Dear XXXXXXX
Nothing which has been told and submitted by you suggests a life threatening condition.
Sincerely
Sukhvinder

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar