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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treadmill Test Showed Non-specific Changes In EKG, Abnormal Baseline. Advised Nuclear Treadmill. Worrisome?

Hi, i just got the results from a treadmill stress test that i took last Friday. The dr sent me a letter and it states: your treadmill stress test showed some non-specific changes in the EKG with stress that could represent ischemia but was very difficult to interpret because of your baseline being abnormal. Therefore I suggest we do a nuclear treadmill stress test. Please call my nurse to set this up Should I be worried???? I am a 61 year old female.
Tue, 7 Aug 2012
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Cardiologist,  's  Response
Hi there,
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
When you were referred for the treadmill test there must have been suspicion of coronary artery disease. Due to baseline problem, the doctor is unable to interpret report. Some changes would have been there before you were sent for test other wise why the test was advised? The specificity of treadmill test is about 75% meaning if it is positive then you have that much chances of having a disease. The situation has not changed. If the first doctor was almost sure of coronary artery disease, he/she would have advised you a coronary angiography which is almost 100% specific. Radionuclide scan is about 75% to 80% specific, so here one test is being substituted for other. I see no cause for worry. You are only a suspect not a patient of coronary artery disease. Good Luck.

With Best Wishes
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/healthcaremagic.com/dr-anil-grover/63370
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Treadmill Test Showed Non-specific Changes In EKG, Abnormal Baseline. Advised Nuclear Treadmill. Worrisome?

Hi there, Thanks for writing in. I am a qualified and certified cardiologist. I read your mail with diligence. When you were referred for the treadmill test there must have been suspicion of coronary artery disease. Due to baseline problem, the doctor is unable to interpret report. Some changes would have been there before you were sent for test other wise why the test was advised? The specificity of treadmill test is about 75% meaning if it is positive then you have that much chances of having a disease. The situation has not changed. If the first doctor was almost sure of coronary artery disease, he/she would have advised you a coronary angiography which is almost 100% specific. Radionuclide scan is about 75% to 80% specific, so here one test is being substituted for other. I see no cause for worry. You are only a suspect not a patient of coronary artery disease. Good Luck. With Best Wishes Dr Anil Grover, Medical Specialist & Cardiologist M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology) http://www/healthcaremagic.com/dr-anil-grover/63370