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What Does My Cardiac Stress Test Result Indicate?
Question: my stress test showed mild redistribution phenomenon in the inferior wall consistent with possible ischemia should I have a angiogram or wait and repeat in 6 months, I am not currently having chest pain but have had 4 episodes of feeling heart palpations and two episodes of dizziness in the last 6 months. I have had a history of high cholesterol 200-220 for several years.
Brief Answer:
Coronary angiogram
Detailed Answer:
Hello Sir. Thank you for your question and welcome to Health Care Magic. I understand your concern.
Well, based on your age of 61 years old, male sex, and the results of the cardiac stress test, if you were my patient, I would also suggest a coronary angiogram, to quantitatively assess the coronary arteries.
Regardless of the signs and symptoms you depicted, with the above mentioned three factors, a coronary angiogram is recommended. Even if they may result clean and normal, the suspicion is high that one of the three main coronary branches are suffering from a blockage.
Not to get ahead of ourselves, but I would like to share the possibilities of outcomes from the coronary angiogram, so that you would be more prepared:
it may result in normal arteries, which requires no further treatment, only medical treatment;
it may result in one or two vessel disease, which can be treated with stent implantation into the blockage sites;
or it can result in three-vessel disease and/or complicated-to-treat with stent coronary blockage, which would require coronary artery bypass grafting treatment.
I stressed the "not to get ahead of ourselves" part, because we can never be a hundred percent sure about the condition of the coronary arteries, without the coronary angiogram carried out. We, interventional cardiologists, call it "the table of truth".
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions.
Kind regards and good luck,
Dr. Meriton
Coronary angiogram
Detailed Answer:
Hello Sir. Thank you for your question and welcome to Health Care Magic. I understand your concern.
Well, based on your age of 61 years old, male sex, and the results of the cardiac stress test, if you were my patient, I would also suggest a coronary angiogram, to quantitatively assess the coronary arteries.
Regardless of the signs and symptoms you depicted, with the above mentioned three factors, a coronary angiogram is recommended. Even if they may result clean and normal, the suspicion is high that one of the three main coronary branches are suffering from a blockage.
Not to get ahead of ourselves, but I would like to share the possibilities of outcomes from the coronary angiogram, so that you would be more prepared:
it may result in normal arteries, which requires no further treatment, only medical treatment;
it may result in one or two vessel disease, which can be treated with stent implantation into the blockage sites;
or it can result in three-vessel disease and/or complicated-to-treat with stent coronary blockage, which would require coronary artery bypass grafting treatment.
I stressed the "not to get ahead of ourselves" part, because we can never be a hundred percent sure about the condition of the coronary arteries, without the coronary angiogram carried out. We, interventional cardiologists, call it "the table of truth".
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions.
Kind regards and good luck,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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