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Medical Forum / General / Cardiology / November 2007

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Dr. Chung/Nuclear Sress Test...

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Zach - 30 Nov 2007 01:11 GMT
I had a nuclear stress test done about two years ago and despite some
initial findings, it was deduced to be a false positive and the test itself
was negative.

However, after the cardiologist looked at the test he decided I wasn't on
the tread long enough, it seemed to take him a while to realize this!
Actually, I put it off for a while myself too.

I have been having episodes of atypical chest pain that are usually relieved
with antacids, more sharp pain than pressure of any kind.  However, given
the scope of the potential problem, I have decided to go through with
another test.

My question is, how safe is the test itself?  I mean, they really get your
heart rate up there and if you've been inactive, like I have, I am concerned
about that part of the test.  I know the radiation they use is safe but with
is the tread itself, to get your heart rate up that high?  I guess the only
alternative would be something invasive.  There were about four people in
the room before so I'm assuming they are ready for problems that might
arise.  Secondly, how acurrate is the test?  If you have two that come back
negative in two years (in addition to dozens of negative resting EKG's)
should you start looking elsewhere?  I realize that resting EKG's are not
significant but when you've had as many as I've had, you'd think something
would show up while your having symptoms.

Thanks,

Zach
Andrew B. Chung, MD/PhD - 30 Nov 2007 02:29 GMT
> I had a nuclear stress test done about two years ago and despite some
> initial findings, it was deduced to be a false positive and the test itself
[quoted text clipped - 20 lines]
> significant but when you've had as many as I've had, you'd think something
> would show up while your having symptoms.

If you have had a normal EKG while having symptoms, most cardiologists
would become convinced that your symptoms are not coming from your
heart.

Would, therefore, suggest you seek a second opinion from another
cardiologist unrelated to your present one.

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
Zach - 30 Nov 2007 03:41 GMT
>> I had a nuclear stress test done about two years ago and despite some
>> initial findings, it was deduced to be a false positive and the test
[quoted text clipped - 35 lines]
> Would, therefore, suggest you seek a second opinion from another
> cardiologist unrelated to your present one.

Probably a good idea, I wonder why this paticular one is wanting another
full workup, given the same facts I presented you with??  I mean, I have
heard that EKG's, even while you're having symptoms, don't always pick up
infarction but having had more than several, you'd think he would go along
with what "most cardiologists" would have deduced.  The test is scheduled
for Monday so I guess I'd better go through with it at this stage of the
game.  Perhaps he is one of those doctors that is simply by the book,
covering all the bases (even twice!)

I am 36, my COL is around 240, he told me I needed to be on medication,
which sounds reasonable but was unwilling to prescribe anything until after
the second round of tests were completed.  What is the best statin out there
right now in your opinion?  I would be willing to try your diet and would
exercise also be reasonable?  What about walking, say, two miles per day or
so?  I'm assuming just diet alone will not bring it down below 175 or 150,
will it?

Thanks again Doctor Chung!

Zach
Andrew B. Chung, MD/PhD - 30 Nov 2007 09:41 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> I had a nuclear stress test done about two years ago and despite some
[quoted text clipped - 53 lines]
> so?  I'm assuming just diet alone will not bring it down below 175 or 150,
> will it?

Invariably, simply eating less, down to the optimal amount, normalizes
everything including cholesterol and body weight:

http://HeartMDPhD.com/EatLess

> Thanks again Doctor Chung!

You are welcome, Zach :-)

Redirecting all thanks and praises to GOD so that we will both be that
much more blessed (hungrier):

http://HeartMDPhD.com/HolySpirit/BeBlessed

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
 
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