Q. Does my thallium stress test indicate any serious block?
Hello doctor,
I am attaching my recent ECGs along with readings of aerobic capacity and VO2 max. The VO2 max and aerobic capacity are estimated low as exercise was interrupted after five minutes in the speed of 2.3 Kmph whereas I could have gone on for at least five more minutes with speed of 3.5 Kmph. I have undergone stenting two years back. There were no symptoms but thallium stress test and then angiogram indicate a blockage. I am also attaching my ECGs of six months back when I have been advised a pacemaker. I did not follow the advice as my ejection fraction was 73% and I did not have any symptoms of blackout or fainting. I am currently on Crestor 5 mg, Telma 20 mg, occasional Asenapine 2.5 mg, Oxetol 1200 mg, Lamitor 300 mg plus some nutritional supplements. Can you tell if there has been any improvement in the ECG? What would my aerobic capacity and VO2 max go up to if I was allowed 10 minutes of exercise on the treadmill reaching a speed of 3.,5? Any other observations or advice on your part.
Hello,
Welcome to icliniq.com.
I have gone through your history and your reports (attachment removed to protect patient identity). You are not symptomatic, ECG (echocardiogram) indicated a rhythm block. You are having a high-grade atrioventricular block which is the availability of the rhythm and not the blood flow. You have to assess the blood flow of heart by doing angiography. If the blood flow is good, the pacemaker will regularise your heartbeats. If there is a problem with the blood flow, it has to be tackled first as it can be a cause for this rhythm blockage. I hope this helps. Thank you.
Thank you doctor,
How can I regularise the rhythm block noninvasively? How can I assess the blood flow noninvasively? I will be doing a cardiac MRI and a CT of coronary arteries in the near future. Can the suggested tests be conducted soon after undergoing the above two tests? That is, with the same contrast material. I do not want to undergo a full-blown angiography.
Hello,
Welcome back to icliniq.com.
You can assess the blood flow by doing a coronary angiogram. If the blood flow is fine then look for other reversible causes like electrolyte imbalance, thyroid dysfunction, metabolic abnormalities, and any drug interactions. It is difficult to treat the first type of blockage noninvasively. I hope this helps. Thank you.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
My ECG is normal and heart rate is high. Please advise.
.. heart rate, it is fine to have a resting heart rate of 75 to 84 beats per minute. It does not signify any major abnormalities. Exercise, stress, anxiety, smoking, caffeine can certainly lead to pulse rate elevation. Read full
Does my thallium stress test indicate any serious block?.. gone through your history and your reports (attachment removed to protect patient identity). You are not symptomatic, ECG (echocardiogram) indicated a rhythm block. You are having a high-grade atrioventricular block which is the availability of the r Read full
What is the treatment for atrial fibrillation?.. occurring in this age group needs evaluation like an echocardiogram, cardiac stress test, coronary angiography to rule out coronary artery disease. Next, I guess you do not have any other diseases like diabetes, hypertension, or stroke. Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a Cardiologist Now* guaranteed answer within 4 hours.