Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Abnormal Stress Test(Positive For Reversible Myocardial Ischemia. Is Angiography Needed?
ABNORMAL STRESS TEST(POSITIVE FOR REVERSIBLE MYOCARDIAL ISCHEMIA --- DO I REALLY NEED TO GET AN ANGIOGRAPHY DONE?
I am 61 yrs old (ex-smoker for past 5-6yrs). I have a stent (implanted in 1996) in RCA. Another stent was implanted in 2011 in LAD.
During routine CCC a TMT finding is " exercised for 9.31 minutes on Bruce protocol at a worlkload of 10.9METS and achieved 96% of max predicted HR. Exercise was terminated due to THR achieved.
Resting ECG revealed rSR pattern.
Developed Asymptomatic 1mm USST dep. in leads II, III aVF during stage 2 at HR of 120BPM which progressed to 1.5-2mm USST dep in leads II, III aVF during stage 4 at HR of 153BPM. ST_T changes reverted to basal pattern within 5.0 mins in recovery period.
No significant arrythmia were observed during stress test.
Normal HR and BP response to the exercise. No S3/S4 heard.
ABNORMAL STRESS TEST(POSITIVE FOR REVERSIBLE MYOCARDIAL ISCHEMIA."
I am 61 yrs old (ex-smoker for past 5-6yrs). I have a stent (implanted in 1996) in RCA. Another stent was implanted in 2011 in LAD.
During routine CCC a TMT finding is " exercised for 9.31 minutes on Bruce protocol at a worlkload of 10.9METS and achieved 96% of max predicted HR. Exercise was terminated due to THR achieved.
Resting ECG revealed rSR pattern.
Developed Asymptomatic 1mm USST dep. in leads II, III aVF during stage 2 at HR of 120BPM which progressed to 1.5-2mm USST dep in leads II, III aVF during stage 4 at HR of 153BPM. ST_T changes reverted to basal pattern within 5.0 mins in recovery period.
No significant arrythmia were observed during stress test.
Normal HR and BP response to the exercise. No S3/S4 heard.
ABNORMAL STRESS TEST(POSITIVE FOR REVERSIBLE MYOCARDIAL ISCHEMIA."
Mon, 3 Jun 2013
Hi friend,
Welcome to Health Care Magic
YES – Angiography is needed / that too as soon as possible.
Block in the stent and/or native vessel is extremely likely and may need intervention again / Absence of pain is no proof of absence of the problem / So too the effort tolerance.
CT angio (for anatomy) and thallium stress (for Physiology) may give clue and confirm... / But angiography is the gold standard / and you will need it anyway, if any of the too turn out to be positive..
Take care
Wishing speedy recovery
God bless
Good luck
Welcome to Health Care Magic
YES – Angiography is needed / that too as soon as possible.
Block in the stent and/or native vessel is extremely likely and may need intervention again / Absence of pain is no proof of absence of the problem / So too the effort tolerance.
CT angio (for anatomy) and thallium stress (for Physiology) may give clue and confirm... / But angiography is the gold standard / and you will need it anyway, if any of the too turn out to be positive..
Take care
Wishing speedy recovery
God bless
Good luck
I find this answer helpful
1 user finds this helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Stress
Loading Online Doctors....