Dobutamin Stress Echo

Dobutamine is a drug that is used to increase the functioning of the heart. In patients who are not able to do exercise, Dobutamine is injected in the veins, and this produced the same effect as exercise produces on the heart, and then an echocardiogram is done. This procedure is done to evaluate the functioning of the heart.

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Is it necessary to stop taking beta blocker before an EKG?

Query: Hi doctor, Could Atenolol mask any abnormality that might be found where I am not taking a beta blocker at the time of my EKG? I am a 47 year old female. I am overweight but not obese.  Read Full »

Dr. Rajesh Gulati

Answer: Hi, Welcome to For EKG, there is no need to stop beta blocker. Yes, for Dobutamine stress echocardiogram, beta blocker needs to be stopped three days prior. For further information consult a cardiologist online -->  Read Full »

On considering my cardiac health, is it good to operate gallbladder stones?

Query: Hello doctor, I am a 60 year old female, who weighs 78 kg. I have multiple stones in the gallbladder. And my vomits are greenish or yellowish in color. Once, I threw up brownish vomit, which my doctor said is blood, due to repeated vomiting. The gastric pipe gets torn and abraded a little, and ...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to The short answer, in my opinion, is yes, let them operate for gallbladder stones. Here is why. The surgeon's job was to see that the patient will be safe, so he asked for a cardiac assessment. Here dobutamine stress echocardiogram (DSE) was requested most likely as it mu...  Read Full »

Could chest tightness during exercise be due to heart problem?

Query: Hi doctor,I recently visited the doctors as I was unable to catch my breath and was feeling strange. The doctor performed a breath test which came back fine. I had an ECG and the doctor said that my ECG showed possible left ventricle enlargement. He then asked me to perform different breathing while...  Read Full »

Dr. Lohit Chauhan

Answer: Hello, Welcome to Did you ever have chest pain or symptoms of excessive sweating with pain? If your ECG is fine, then there are very fewer chances of you having a cardiac pathology. Left ventricular hypertrophy develops after prolonged hypertension in individuals, but as you have sai...  Read Full »

Is mild ST depression in stress echo a worrisome issue?

Query: Hello doctor, For many years now, I have sporadic pressure in my chest area, and since I never want to presume it is not heart-related. I usually get it checked out. I do have anxiety and fibromyalgia, so the most likely cause is stress and muscle strain. My last episode was about two weeks ago an...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to I have seen your reports. (attachment removed to protect patient identity). I studied through your test results there is absolutely nothing that indicates any serious abnormality. The slight change recorded is not of much significance. From my experience as a physic...  Read Full »

Do my echo and stress echo show any heart problem?

Query: Hi doctor,I had chest pain, dizziness, palpitations and shortness of breath. I got an echo and a stress echo. I am worried about the results. I have attached the results here. I played soccer almost every day for about a year until three months back where I started getting palpitations. I have done ...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Your cardiac workup is normal (attachment removed to protect patient identity) and it does not look like a cardiac problem. What is your age? Does chest pain occur at exertion or rest? Does it increase on deep breathing at any particular site on the chest or on ...  Read Full »

Is coronary angiography required in chronic stable angina?

Query: Hello doctor, My mom is 56 years old. She is a patient of hypertension, diabetes, and mild nephropathy. BP 140/80, pulse 96/ min, creatinine 1.3, fasting sugar 125, postprandial 157. From a few months, my mother is suffering from chest pain. The doctor told it is chronic stable angina. All other te...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to With these kidney function tests, she can perform the coronary angiography. I agree with her doctor's recommendation because this would help identify possible coronary artery stenosis and also perform angioplasty, if necessary. Another test which can help investigat...  Read Full »

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