Usually a cath procedure is done after a stress test to open any blocked vessels discovered with a stress test as well as measure any gradient pressures and intra-chamber, vessel pressures, etc.!. Are you having chest pains that can not be relieved with medication? Pain with exertion and relief with rest?
I recently took a treadmill stress test and nuclear stress test. Basically, the conclusions are that I have: 1) moderate size inferior ischemia 2) LVEF is 56% 3) ECG is positive for ischemia at a good workload.
No chest pains, no arrhythmia.
I've research the Internet and have reached a tentative first impression, but would appreciate any professional feedback on the above three conclusions.
I am being scheduled for a heart catheterization.
Thank you.
Never had any symptoms of heart problems. Just had a Thallium Stress Test as a precautionary measure due to family medical history. The stress test results showed an evidence of ischemia of basal septal wall. Cardiologist is recommending catheterization.
Is it necessary? Some doctors say absolutely not. Use aggressive medical treatments to control cholesterol and blood pressure with 80 mg. aspirin daily.
Nothing was done except revive me and determin that i did in fact have a heart attack. I would have thought they would have done a heart cath at that time but they didnt. They referred me to my Cardiologist and he ran a stress test, not the tredmill but the other one. This was done about 3 months ago was told nothing showed up. Went back to cardiologist last week and explained to him the chest pain i was having constantly daily and having to use Nitro Spray.
He told me not to worry I am not at risk for a heart attack. The stress test was preformed 1 week ago and he called and wanted to schedule a heart cath. I refused to schedule any further procedures with him.
The stress test images demonstrated the presence of a mixed though largely redistributed perfusion defect in the inferolateral segments. The impression was: abnormal dual-isotope stress test with evidence on anterolateral ischemia and small anterior scar.
Given the family background and an abnormal stress test, a heart cath would serve to give you and the doctor a good view of your cardiac arteries and also serve as a reference point if further work needs to be done. I suggest you put away your fears by doing some research, you will find the procedure is very safe, and proceed with confidence. Believe me, plaque buildup is serious stuff, and the procedure is very safe.
He was very helpful in explaining everything to me and explaining my options. I opted to have a 3D heart scan instead of the heart cath. The results showed early onset of CAD so he put me on Zocor and low dose baby aspirin daily and encouraged me to keep up the diet and exercise. I am still in shock that at 37 yo, I already have heart disease, but I guess I should be happy that we caught it early.
s why they are doing the cath. I have no blockages yet have EF 17% and stress test images show severe damage and restricted perfusion. If it is a blockage, and they can stent it, you should be pretty much back to "normal" shortly after.
Disclaimer: I am NOT a doctor. Do not rely on my opinion or advise. Consult a licensed professional. Batteries not included. Some assembly required. Oh, and just for fun, ask your cardiologist if his work comes with a lifetime warranty!
First off, you really need to stop smoking, it is the most important risk factor and you control it. Here's what I can tell you based on what I know. A mild anterior reversibility means you have an area of your heart that does not get enough blood under stress but does when resting, this is usually the result of a blockage. Normally with that result your doctor would do a cath to confirm, what was his comment?
I have A Fib and I could not do the stress test with the treadmill so the doctor wants to give me an injection (dobuytamine hcl/250 and sestamibi(2) in order to race my heart to get it up to a certain speed and I am concerned since I have the A. Fib and take medication for it (Diltazam). Is it dangerous for me to have the test??
To clarify, I did undergo a nuclear stress test prior to my heart cath. The stress test indicated there was blockage in one of the arteries. So I was stunned when I was told that I was a false positive and there was no blockage! I thought that a stress test was more reliable! I think my physician was being extra cautious because I have diabetes and because my father died of a massive heart attack at the age of 54.
I guess I am now trying to figure out what do I do now?
I recently had a Positive EKG/Cardiolyte IV Stress Test. I then had the Heart Cath that proved the Stress Test false positive. This happened exactly the same 4 yrs. ago. Both times this was indicated because of chest pain. I do have the common risk factors: High BP & cholesterol (contolled with Meds) & heredity. What next? Why do I still have chest pain?
Mary 310, remember that a stress test is just an indicator, and the heart cath is far more accurate than a stress test in determining heart blockages and heart health. The stress test indicated an EF of 48% which is essentially normal, and the more difinitive cath showed 60%. That's a very healthy heart.
What was the doctor's reaction to the holter findings? Like most of us, his heart has some hiccups. Was the doctor concerned about them?
I had a nuclear stress test & they found "mild ischemia in the inferior apical area" with an ejection fraction of 75%-I am symptomatic with angina and SOB & take toprol xl and imdur but still have some symptoms-what does the stress test mean in laymans terms-thanks
I have had chest pressure and shortness if breath so was scheduled for a stress test with vasodilator,. It showed a medium to large moderate
intensity partially reversible defect involving all apical segments and
extending into true apex and the mid anteroseptum. This is larger than on
the prior study done in 2017. The defect is only partially reversible
with SDS score of 4.
Wall motion post stress is severely hypokinetic in the apex, with gated EF of 51%.
ve had three over the last 6 years, and one a few years before that when the test was called a thallium stress test...it is nuclear too, but it seems thallium is no longer used.
I have no known side-effects and I have gotten two false positives. The latest one that gave this was about 2 years ago, and so I underwent a catheter study and there were no blocks.
I think the bottom line is, if the nuclear stress test says you do not have blockage, you most likely don't.
Recommended
