Stress echo result question 
Author Message
 Stress echo result question

Hi,

On Monday I had the Stress Echo test and today, Wednesday the Doctor's
office called and said the test was slightly abnormal and made an
appointment to see the Doc who did the test for more than a month away
in early December.

OK, so I figure it is not a serious abnormality but now I am curious.
I am not a hypochondriac type or given to panic but just curious as to
what "slighty abnormal" might mean before waiting more than a month to
find out.

I am almost 60, unfit, slightly overwheight at 170# and 5'-6" computer
programmer so excercise has not listed high in my activites.

They quit the test after the end of the second speed-up. The guy who
did the ultrasound suggested the halt so not sure what he thought or
why. Naturally he was evasive when asked.

So, would anyone care to venture possible scenarios for the results?
My wife is not happy with the idea of  waiting a month for "slightly
abnormal". I have tried to reassure her that a month means nothing
serious, but I don't think she is convinced. <g>

I have visions of her on the phone demanding an earlier appointment.
Her first husband died of a heart attack in front her and to say she
is a little gun-shy in matters of the heart is an understatement.
Enquiring minds need to know too.

Thanks in advance.

--

Garry



Mon, 25 Apr 2005 06:08:48 GMT
 Stress echo result question

Quote:

> Hi,

> On Monday I had the Stress Echo test and today, Wednesday the Doctor's
> office called and said the test was slightly abnormal and made an
> appointment to see the Doc who did the test for more than a month away
> in early December.

> OK, so I figure it is not a serious abnormality but now I am curious.
> I am not a hypochondriac type or given to panic but just curious as to
> what "slighty abnormal" might mean before waiting more than a month to
> find out.

> I am almost 60, unfit, slightly overwheight at 170# and 5'-6" computer
> programmer so excercise has not listed high in my activites.

> They quit the test after the end of the second speed-up. The guy who
> did the ultrasound suggested the halt so not sure what he thought or
> why. Naturally he was evasive when asked.

> So, would anyone care to venture possible scenarios for the results?
> My wife is not happy with the idea of  waiting a month for "slightly
> abnormal". I have tried to reassure her that a month means nothing
> serious, but I don't think she is convinced. <g>

> I have visions of her on the phone demanding an earlier appointment.
> Her first husband died of a heart attack in front her and to say she
> is a little gun-shy in matters of the heart is an understatement.
> Enquiring minds need to know too.

An abnormal stress test whether it be treadmill EKG, Echo or thallium
would suggest a greater likelihood of significant occlusive coronary
disease.  In layman's terms, this means you may have enough cholesterol
plaque blocking a heart vessel to a degree severe enough to cause your
symptoms.  The reason this does not need urgent attention is presumably
because you have already been given instructions on how to lower your risk
of having a heart attack in the interim.

--
Dr. Andrew B. Chung, MD/PhD
Atlanta Cardiologist
http://www.heartmdphd.com



Tue, 26 Apr 2005 04:05:13 GMT
 Stress echo result question
On Thu, 07 Nov 2002 15:05:13 -0500, "Dr. Andrew B. Chung, MD/PhD"

Thanks Dr Chung, but nothing extra was offered when the nurse called
and told me of the appointment. I asked her about "slightly abnormal"
and she evaded the issue. I figured there could be no point in pushing
her further and would wait for the Deecember meeting. My cholesterol
level has always been good although my tryglicerides are always high.

Quote:
>>because you have already been given instructions on how to lower your risk
>>of having a heart attack in the interim.

What should I be doing?

Thanks for taking the time to respond.

--

Garry



Tue, 26 Apr 2005 23:05:07 GMT
 Stress echo result question
On Fri, 08 Nov 2002 11:41:59 -0500, "Dr. Andrew B. Chung, MD/PhD"

Quote:

>>(1) Daily {*filter*} aspirin if no contraindications (bleeding +/- ulcers)
>>(2) Not ignoring chest discomfort symptoms (presumed angina pectoris).  Do not
>>continue exertion through the chest discomfort.

OK, thanks, I do get that some times but seemed only mild so assumed
it was muscle cramps.

Quote:
>>(3) Control (lower) high {*filter*} pressure.  ACE inhibitors and beta blockers are
>>the {*filter*} pressure medications proven to lower heart attack risk.

Taking Atenolol (50mg) and Prinivil (20mg), neither seem to work on
their own but together they are good.

Quote:
>>(4) Lower cholesterol (including triglycerides).  The fibrates (ie Lopid and
>>Tricor) are very effective at lowering triglycerides.

Tried Zocor and Lipitor but both ate up the liver function so doc
stopped them in the belief it was better to tollerate elevated
triglycerides than the liver damage. Cholesterol has always been good
even without those meds.

Quote:
>>(5) Control Diabetes.

Don't have it.

Quote:
>>(6) Stop smoking.

Never smoked in my life.

Quote:
>>(7) Low fat/chol diet shifting intake toward fruits, vegetables, higher fiber
>>composition.  Regular exercise.  Ideal body weight.

Ahh now you are cutting to the chase. <g> The hard stuff.

What about wine? We usually have a bottle of wine with Dinner and I
have maybe 2-1/2 5oz glasses. Good?? Bad?? I'd hate to cut that out
but I'd hate to die even more so I guess it is an acceptable
restriction if it will make a **real** difference.

Thanks again.

--

Kind regards,
  Jenny and her tribe.



Wed, 27 Apr 2005 23:34:07 GMT
 
 [ 5 post ] 

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