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What Does This Stress Test Report Indicate?

Posted on Mon, 23 Jan 2017

Question: Hello this message is for de shakra . I have uploaded my stress test for your viewing . My go has indicated this is not cardiac related but indeed Costo I still get pains in the Sturnum and rib area . Please review all my results including my previous ones thank you

Answered by Dr. Benard Shehu (5 hours later)

Brief Answer:
Exclude GERD and other gastrointestinal problems

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Based on the stress test results (it is negative clinically, ecg and echocardiographically for exercise induced myocardial ischemia) the chest pain isn't related to cardiac issues.

The pain most likely may be related to:
- GERD or acid reflux (heartburn) or other gastrointestinal problems
- Costocondritis or other rib and sternal muscle disorders

If you were my patient I would recommend to do the following examinations to confirm exclude gastrointestinal problems:
- Cervical spine x-ray
- Abdominal ultrasound
- Upper endoscopy

Hope this will be of help!
Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (9 hours later)

Hello
Thank you for your response I am not sure about what to do my upper pecks near armpits hurt when I move my arms or twist a certain way I can feel a pull In the sturnum and upper back aches as well ... I am glad this is not cardiac in ur opinion but other than what I currently do what else can I do
I always fear it may be cardiac and we r missing something
Currently I use a hot water bottle Tylenol message therapy physio I cannot take anti inflammatory all of my other tests came back normal
ECG normal non spacific st wave
Echo normal
Blood work normal
Cholesterol normal
Blood pressure normal
Echo stress test normal
Other than the advice you already gave me any other ideas

Answered by Dr. Benard Shehu (3 hours later)

Brief Answer:
I would suggest to do cardiac ct angiography..

Detailed Answer:
Hi back

In order to definitely exclude any cardiac problems (this will reassure you that everything is ok) I would suggest to do cardiac ct angiography (cardiac ct scan).

A normal cardiac ct angiography with a normal test will definitely exclude cardiac issue. Also it's of great help in the evaluation of chest skeletal and muscular structure.

Hope this will be of help!
Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (1 hour later)

I will suggest this to my gp am I in any danger as my dr is not available

Answered by Dr. Benard Shehu (11 minutes later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,

You have nothing to worry about. The exams should be done just to definitely exclude any minor cardiac problems.

Wish you health!
Dr. Shehu

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

Above answer was peer-reviewed by : Dr. Raju A.T