Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Treadmill Test Result Indicate?
Question: I have had heart test angiogram and stress test ( treadmill) i am unhappy with results of treadmill comments, quote: Mr J performed reasonably well achieving 6 minutes of the XXXXXXX protocol and 107% of target heart rate limited by fatigue. There no chest pain or ischaemic changes or arrhythmias at this moderate work load. unquote. My XXXXXXX is i work out at the gym and do 10 time more work than the stress test and worry now should i do this ?? although the treadmill at gym never shows bad heart rate , but can i rely on gym machines now to give me correct information ??
Brief Answer:
You are on perfectly good physical conditions.
Detailed Answer:
Hello Dear Mr.XXXX !
Welcome and thank you for asking on HCM!
First of all I would like to assure you that the good news of this story is the fact that your treadmill stress test doesn't confirm any evidences of induced myocardial ischemia.
You should be happy about this!
Regarding your exercise capacity I would explain that, facing your actual age, achieving 6 minutes of the XXXXXXX protocol and 107% of target heart rate is not so bad.
This doesn't mean that you have a more increased exercise capacity when at the gym, but it is because the work rate of your treadmill and other equipments at the gym are more gradually/slowly loaded.
I strongly encourage you to keep performing your usual physical training without any limitations.
You are on perfectly good physical conditions.
There is nothing to worry about!
Regarding gym machines, I would explain that there exists also devices endorsing complex software capable of providing valuable information about several components of your physical capacity.
You just need to discuss with a training licensed supervisor expert.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
You are on perfectly good physical conditions.
Detailed Answer:
Hello Dear Mr.XXXX !
Welcome and thank you for asking on HCM!
First of all I would like to assure you that the good news of this story is the fact that your treadmill stress test doesn't confirm any evidences of induced myocardial ischemia.
You should be happy about this!
Regarding your exercise capacity I would explain that, facing your actual age, achieving 6 minutes of the XXXXXXX protocol and 107% of target heart rate is not so bad.
This doesn't mean that you have a more increased exercise capacity when at the gym, but it is because the work rate of your treadmill and other equipments at the gym are more gradually/slowly loaded.
I strongly encourage you to keep performing your usual physical training without any limitations.
You are on perfectly good physical conditions.
There is nothing to worry about!
Regarding gym machines, I would explain that there exists also devices endorsing complex software capable of providing valuable information about several components of your physical capacity.
You just need to discuss with a training licensed supervisor expert.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Thank you for your answer and . So far in the process of my heart check up I have had Echo Gram which showed normal, stress test results you have, blood test results unknown at the moment, As a final part of my check up I have to under go a CT scan of my heart in one weeks time and I am getting myself in a very worried state about it. Can you tell me given my progress so far what the CT is for .Thank you.
Brief Answer:
The coronary angio CTscan helps quantifying the future coronary events risk
Detailed Answer:
Hello again!
If you are meaning coronary angio CT scan, I would explain that it is intended for the quantification of you future coronary events risk .
This is achieved by calculating the total coronary calcium score. It is an important examination for the depistation of the patients with possible coronary risk factors and intermediate positive pre test probability.
In high resolution machines and exams, it is possible to investigate with an acceptable accuracy possible intracoronary lesions (and stenosis).
Hope to have been helpful!
Best regards,
Dr. Iliri
The coronary angio CTscan helps quantifying the future coronary events risk
Detailed Answer:
Hello again!
If you are meaning coronary angio CT scan, I would explain that it is intended for the quantification of you future coronary events risk .
This is achieved by calculating the total coronary calcium score. It is an important examination for the depistation of the patients with possible coronary risk factors and intermediate positive pre test probability.
In high resolution machines and exams, it is possible to investigate with an acceptable accuracy possible intracoronary lesions (and stenosis).
Hope to have been helpful!
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Further to my previous questions.
My blood tests were clear including Chloresterol and renal.
However I went for my CT scan and I am afraid my heart rate was too high to conduct test because of my nerves and white coat syndrome BUT during their efforts to lower my heart rate the cardiologist noticed a flutter on the machine.
He aborted the attempted scan and said I should have a 24hour heart monitor fitted.
This has been done and the results were :
The 24hr ECG recording ( performed just before I started BISOPROLOL) revealed several episodes of narrow complex tachycardia ( atrial tachycardia/flutter at 140 btm for up to 33 beats.
I have now been given medication in addition to my existing Losartan 100mg and Bendroflumethiazide 2.5mg they are : Rivaroxaban 20mg 1 daily , Bisoprolol 5mg 1 daily and Amlodipine 5mg 1 daily.
My questions are:
1/ will these drugs I have been given correct or control the condition ?
2/ I experienced this flutter when I was ill in France in 2004 with kidney infection , is it possible to have had this condition for all these years without realing it ?
3/ What is the best treatment to return my heart to a normal pulse rate ?
Regards XXXXXXX
My blood tests were clear including Chloresterol and renal.
However I went for my CT scan and I am afraid my heart rate was too high to conduct test because of my nerves and white coat syndrome BUT during their efforts to lower my heart rate the cardiologist noticed a flutter on the machine.
He aborted the attempted scan and said I should have a 24hour heart monitor fitted.
This has been done and the results were :
The 24hr ECG recording ( performed just before I started BISOPROLOL) revealed several episodes of narrow complex tachycardia ( atrial tachycardia/flutter at 140 btm for up to 33 beats.
I have now been given medication in addition to my existing Losartan 100mg and Bendroflumethiazide 2.5mg they are : Rivaroxaban 20mg 1 daily , Bisoprolol 5mg 1 daily and Amlodipine 5mg 1 daily.
My questions are:
1/ will these drugs I have been given correct or control the condition ?
2/ I experienced this flutter when I was ill in France in 2004 with kidney infection , is it possible to have had this condition for all these years without realing it ?
3/ What is the best treatment to return my heart to a normal pulse rate ?
Regards XXXXXXX
Brief Answer:
My opinion as follows:
Detailed Answer:
Hi again, XXXX!
(1) I would explain that the above prescribed drugs seem the appropriate classes to control your blood pressure (Losartan, Bendroflumethiazide, Amlodipine), heart rate (Bisoprolol), and prevent potential thromboembolic events frequently seen in supraventricular tachyarrhythmias (Rivaroxaban).
Nevertheless, facing your structurally normal heart and the performed 24 hours ECG monitoring, it seems that embolic events are not much likely (no atrial fibrillation was recorded).
You just need to check your blood pressure regularly (at least several times daily for a couple of days) and also check your thyroid function test (thyroid hormone blood levels) for a possible underlying dysfunction. Also be aware for possible adverse drugs effects. In such case discuss immediately with your prescribing doctor.
(2) Judging from the clinical symptomatology, it is quite difficult to confirm/exclude previous short episodes of supraventricular tachycardia, as they often may be quite short to be unequivocally noted. Previous ambulatory ECG recordings would be useful to elucidate this topic.
(3) First of all it is important to identify and treat any possible triggering factor s of arrhythmia (thyroid dysfunction, exogenous stimulants like concentrated tea, caffeine, uncontrolled hypertension, anxiety disorders, etc).
After that, an optimal treatment would be able to suppress or at least avoid the potential for frequent recurrences of arrhythmia.
Hope to have been helpful for you!
Kind regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hi again, XXXX!
(1) I would explain that the above prescribed drugs seem the appropriate classes to control your blood pressure (Losartan, Bendroflumethiazide, Amlodipine), heart rate (Bisoprolol), and prevent potential thromboembolic events frequently seen in supraventricular tachyarrhythmias (Rivaroxaban).
Nevertheless, facing your structurally normal heart and the performed 24 hours ECG monitoring, it seems that embolic events are not much likely (no atrial fibrillation was recorded).
You just need to check your blood pressure regularly (at least several times daily for a couple of days) and also check your thyroid function test (thyroid hormone blood levels) for a possible underlying dysfunction. Also be aware for possible adverse drugs effects. In such case discuss immediately with your prescribing doctor.
(2) Judging from the clinical symptomatology, it is quite difficult to confirm/exclude previous short episodes of supraventricular tachycardia, as they often may be quite short to be unequivocally noted. Previous ambulatory ECG recordings would be useful to elucidate this topic.
(3) First of all it is important to identify and treat any possible triggering factor s of arrhythmia (thyroid dysfunction, exogenous stimulants like concentrated tea, caffeine, uncontrolled hypertension, anxiety disorders, etc).
After that, an optimal treatment would be able to suppress or at least avoid the potential for frequent recurrences of arrhythmia.
Hope to have been helpful for you!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr LLiri, Thank you for your reply.
Because I did not have the CT scan because of nervous heart etc., my cardiologist is going to perform a procedure that means entering a vein at I believe groin area and looking at my heart arteries and veins in this manner, am I right in thinking this will not give exactly the same detail IE. calcium level etc as a CT scan would ?
other questions :
1/ My cardiologist has said i should not go to gym until this last test has been done , do you agree with him ?
2/ There a procedure called RENAL SYMPATHETIC-NERVE ABLATION I have seen on the internet for blood pressure do you advise I ask my cardiologist if it would suitable for me ?
3/ My cardiologist has not mentioned Thyroid tests , should I ask him his opinion about this ?
4/ Finally you said quote ''After that, an optimal treatment would be able to suppress or at least avoid the potential for frequent recurrences of arrhythmia ''
What would you recommend as a '' optimal treatment '' please /
Regards XXXXXXX
Because I did not have the CT scan because of nervous heart etc., my cardiologist is going to perform a procedure that means entering a vein at I believe groin area and looking at my heart arteries and veins in this manner, am I right in thinking this will not give exactly the same detail IE. calcium level etc as a CT scan would ?
other questions :
1/ My cardiologist has said i should not go to gym until this last test has been done , do you agree with him ?
2/ There a procedure called RENAL SYMPATHETIC-NERVE ABLATION I have seen on the internet for blood pressure do you advise I ask my cardiologist if it would suitable for me ?
3/ My cardiologist has not mentioned Thyroid tests , should I ask him his opinion about this ?
4/ Finally you said quote ''After that, an optimal treatment would be able to suppress or at least avoid the potential for frequent recurrences of arrhythmia ''
What would you recommend as a '' optimal treatment '' please /
Regards XXXXXXX
Brief Answer:
Expanation as follows:
Detailed Answer:
Hi XXXX!
The diagnostic procedure that your cardiologist has proposed you is a coronary angiogram; and you are exact saying that it will investigate your heart vessels. This test is used to rule in/out possible lesions, responsible for any blood flow abnormalities. Coronary angiogram is considered the "gold standard" regarding this issue. A direct intra-luminal coronary evaluation is able after contrast agent infusion. It doesn't operate by using coronary calcium score.
1) Probably your cardiologist suspects of any possible coronary lesions. I agree that you shouldn't engage in any strenuous physical activity until all the tests results are ready. Though I personally couldn't find any significant evidences of possible cardiac ischemia.
2) As you haven't a history of resistant hypertension poorly controlled by pharmacological way, I can't find any rationale for advising you renal denervation procedure. I personally would not advise you this therapeutic strategy.
3) I encourage you to ask your doctor about thyroid tests, as not rarely after a cardiac rhythm disorder (especially supraventricular) is hidden a thyroid dysfunction.
4) "Optimal treatment" is decided by your doctor after clarifying all the possible triggering factors (as I explained you before: thyroid dysfunction, anxiety, stimulants, etc). So it is etiological and symptomatic.
Regards,
Dr. Iliri
Expanation as follows:
Detailed Answer:
Hi XXXX!
The diagnostic procedure that your cardiologist has proposed you is a coronary angiogram; and you are exact saying that it will investigate your heart vessels. This test is used to rule in/out possible lesions, responsible for any blood flow abnormalities. Coronary angiogram is considered the "gold standard" regarding this issue. A direct intra-luminal coronary evaluation is able after contrast agent infusion. It doesn't operate by using coronary calcium score.
1) Probably your cardiologist suspects of any possible coronary lesions. I agree that you shouldn't engage in any strenuous physical activity until all the tests results are ready. Though I personally couldn't find any significant evidences of possible cardiac ischemia.
2) As you haven't a history of resistant hypertension poorly controlled by pharmacological way, I can't find any rationale for advising you renal denervation procedure. I personally would not advise you this therapeutic strategy.
3) I encourage you to ask your doctor about thyroid tests, as not rarely after a cardiac rhythm disorder (especially supraventricular) is hidden a thyroid dysfunction.
4) "Optimal treatment" is decided by your doctor after clarifying all the possible triggering factors (as I explained you before: thyroid dysfunction, anxiety, stimulants, etc). So it is etiological and symptomatic.
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
