Had an abnormal stress test? Here's what's next.
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- Опубліковано 30 вер 2024
- This video explains what to expect next if you've had an abnormal stress test, which may indicate the presence of heart disease. Narrated by Dr. Christopher Kelly, MD, MS, FACC (North Carolina Heart and Vascular / UNC Rex Hospital).
About 3 months ago I had a nuclear stress test .. with the chemical push rather then the treadmill. My results were that I was fine and there were no problems detected. A week later on climbing stairs because of a broken elevator I near had a heart attack .. told this to my cardio Dr and he decided to run a heart cath .. results? I am scheduled in a few days for a triple bypass .. I was 80% blocked and it wasn't detected.
Better to get a calcium score or better yet a CCTA for others reading this
Was the heart cath painful or stressful for you?🤔 I had a mixed review of my nuclear stress test. I did the treadmill though. My doc said he saw a slight darkening at the bottom of my heart on some of the scans? He said he was not overly concerned and was ordering no further tests for now, and that the darkening could just be shadows cast off from my abdomen? Hmmm? I just turned 69 years old yesterday, and am a cancer survivor of stage 3 triple negative breast cancer. My cancer is in full remission BUT it came at a cost! The toxic chemo used to kill the cancer came very close to killing me!... and I'm sure has heavily contributed to my AFib issues!😓
Which test can detect blockage sir
@@SteppesoftheLevant
Sir which test is better than nuclear test?
@@SteppesoftheLevant CCTA ?
Short but very clear and detailed!! Awesome!! Thanks for this Dr. kelly! God bless
Just a follow up from 6 months ago, on 8/29/23, I had double bypass surgery after a full cath showed 80 t0 90% blockage in two main arteries, the LAD was one of them. A 209 calcium which in some peoples opinion is not that bad, led to double bypass. Any calcium score above 1 means you have plaque, how much soft plaque is what you need to find out asap.
Yes, because a CAC test does not show soft plaque!!
@@gloriamaryhaywood2217 what’s a cac ?
I don’t think I can lay in that gamma camera 7 minutes. So claustrophobic!😮
Short and detailed video. Exactly what I was looking for. Thanks 👍
Dr. Kelly
I just had a stress test and I went from 110 to 170 in two minutes no chest pain and a little shortness of breath. They stop the stress test do you have any comments on what this might be from? I appreciated your video. I usually don’t get any answers from sites like this, but I’m hoping you might be able to give me any ideas. I’m feeling very nervous about what happened.
Did your cardio doc ever explain to you what your results from the test showed??
This was very straightforward, understandable, and informative. Thank you for this! 🙏
You're so welcome!
@@ChrisKellyMD Dr how much PVC are normal in 24 hour's heart beat ?
I had a stress test with contrast, everything was fine (heart rate up to 150, breathing fine, no chest issues) until the last contrast shot. Had severe headache & my BP increase to 190/(?). It took 2 sprays of nitrous and a shot of meds (?) to bring it down. Few minutes later, I feel a slight headache, no dizziness, no chest issues, breathing fine.
I'm at loss
Maybe the whole thing is a gimmick to sell expensive drugs and machines to hospitals to treat people that have been on a SAD their whole life. SAD: Sad American Diet. Cholesterol is used by your body to heal itself - it is not the cause of the problem.
Think about the 5 pillars of health:
1) Good and healthy relationships with friends, family and people you meet.
2) Manage and reduce stress were ever possible. Meditation is a good tool.
3) Strive to get 8 hours of sleep
4) Get moderate exercise 5 to 6 days a week. Get your pulse rate up now and then
5) For God sacks eat real food. , and stay hydrated. Cut way back on refined sugar and the processed carbohydrates - to zero would be best! Never ever eat, or eat any foods that contain refined oils. These oils are: Cotton seed, corn, sunflower, vegetable, peanut, canola, soy and safflower.
Health hacks:
Intermittent Fasting, cold showers, not warm but hot showers, meditation and breath work.
Supplement with probiotics and Zinc, D3, and Magnesium and Sun light. To the degree you eat healthy determine the level of supplementation required for optimum health and a robust immune system.
A robust immune system might be a good thing to have these days!
How do u feel veronica I did a stress test last week my blood pressure was normal 123by77 and after the test it went up to 155by111 heart rate 128 and I still feel lightheaded 😞doctor told me that I need to lose the weight 😌
@@adrianarivas5648 I am feeling fine. My heart rate has not jumped any, but yet again I am taking K2/D3 vitamins. K2 with the help of D3 helps the calcium in the blood go directly to the bones, instead of getting clogged in the veins. Which help cause a TIA.
At the time of the test I was 20lbs. overweight, but was not told to lose weight.
So I dont know what ur health is at the moment, but I do hope all goes well.
Thanks for replying back that's good that you're much better Veronica I've been suffering a lot with anxiety and a lot of health issues I'm in stage 1 of liver disease I'm only 35 year old I weigh 195 I lost 20 pounds already I did the stress treadmills because my heart rate is very high
@@adrianarivas5648it's always a good idea to lose weight, no matter what health issues arise. I've read a bit on liver disease, my son's blood work not too long ago shows he has issues. He is gradually changing his diet but working 12 HR shifts 6 days a week doesn't help.
U are very young to be suffering from liver disease, but I hope u are comfortable with ur dr's care. He should be happy with ur weight loss too!
2 weeks ago I had the echo cardio gram and treadmill test because I was feeling some chest pain and other symptoms. Cardiology called and informed me that my results showed some abnormality but did not specify. They said they could perform further testing i.e. an angiogram if I’m still experiencing chest pain and I choose to do so. The results were sent to my PCP. He told me that the test showed cardio hypokinesia/hypokinesis. I’m not sure if I should feel worried or not worried, although he said he wouldn’t have that type of further testing performed.🙏 Opinions appreciated. Thank you.
I felt GREAT After my stress test but my doctor said my blood pressure was high right after So, he did the wire through my wrist thing and my arteries are OK much, i think, to his suprise especially my Widowmaker. THEN I had an echo cardiogram which was normal all the way through but now he wants me to have a TEE because he hears a click or leaky sound when he listens to me. Why the high blood pressure after my stress test when I NEVER HAD IT? What about that Princeton study suggesting high blood pressure after a stress test means you're MORE fit?
My stress test came back abdominal n a few weeks I hve to do a PET SCAN . I was CAD hving all the symptoms ( chest pain, shortness of breath etc)
Great way of explaining heart disease. Thank you so much for this video!
I like the way you explain why one needs to do certain things or why something is done
I had this test done and saw that i had Cardiomyopathy and heart failure and myocarditis as well and ended up with cath lab tests done. They used my arteriesin the wrist and it happened near the my neck found a blood clot traveled to my brain 🧠☣️☢️🎒🧬 to get rid of the clot tpa medicine for it.
Bloodpressure is normal, cholestrol is normal, I'm not overweight..age is low at 37 and yet, I had an abnormal stress test?
This was perfect information - thank you for taking the time to create this video!
I've had 3 stress test since June 2020. 1 on the treadmill, which I passed, 2 nukelier ct scan stress test, an MRI and a cardio sonogram.
I still get chest pain and FINALLY got to have an appointment with a cardiologist just last week (not sure why they didn't want me to see the cardiologist 2 years ago?) Nevertheless, he scheduled me for another sonogram, and he wants me to get the angiogram. I'm nervous about the angiogram?
He said everything appears normal on my imaging from my stress test but, it's not 💯 % . My blood pressure is always normal or slightly lower than normal, I just have chest pain regularly.
Have you had investigations to rule out non cardiac causes for the chest pain?
@@dopiaza2006 only cat scan to look at my lungs
@@JohnMChew Did you do another sonogram and how were your results?
@gloriamaryhaywood2217 Yes. Normal. Everything normal. I eventually had an angiogram, and the results also were normal. My cheat pain may have been copd exacerbations? I have stage 1 emphysema, from smoking for 40 years.
@@JohnMChew And so are you saying that you Still experience chest pain?🤔 I have Afib and I hate it but have never experienced any sort of chest pain. At least not YET!😜
But seriously, I would keep pushing to find out WHY you have frigging chest pain!? My older sister passed away almost 5 years ago from lung cancer. Yes, she was a smoker, even though she had finally managed to quit smoking 3 years before being dx with cancer!
Good luck to you!!😉
Can you confirm if a nuclear stress test is better than doing a calcium score ct?
That is a very good Question!😉
My mom had a stress test, and had flu like sickness 8 hours later around 1am. She was given a monitor, and the day she was sick she first had pac before sickness. Then was in tach, tach day. Days later she had a vtach and the doctor called. My question doc, did the test give her anything bad? Was that sickness something else? Like a heartattack? She was put on a beta blocker. Her doc wants to see her in 3 months
Wish you were my dr. Thank you and God bless you.
What if there is no blockage but the function and structure are abnormal and the test gets terminated due to severe symptoms from something like cardiomyopathy? Heart rate and oxygen abnormalities under stress …
My stress test showed ST changes during the treadmill test. Cardiologist said she was unsure because I was able to run on the treadmill quite easy. Not sure what to think. Been short of breath for the rest of the day and my lungs feel like they cant get enough oxygen. Any thoughts?
What are your thoughts on Statins? Side effects?
Thank you. I have CHF from septic shock and they are wondering if it's healing itself or not. Very stressful.
Look up whole food plant based it has helped ejection fraction
Also Irish sea moss
And Hawthorne berry
That sounds very Scary! People die from going into Septic Shock every day! You are very lucky to have survived but of course there would be some organ damage, very possibly including the heart.
Hopefully you are doing much better these days!💜
Excellent discussion and presentation. Thank you
Great information thanks 👍🤗
Colesterol? I don't think so
Understandable. Thanks.
Thank you very much Dr.
I had a treadmill stress test doc said my test was good but abnormal he wants me to see a cardiologist but I don't have chest pains no tightness no pain in my side or arms only thing is a feel a little woozy and lightheaded But I do pretty god while working out Never had a problem breathing or pain in chest. He says I may need a cath but I never had a issue with pain I dont get it.
I'm in precisely the same boat. Am 65 years old and went for a stress test because I was getting winded while jogging. I'm small, but have a very athletic physique, and I aced the stress test....putting out 12.5 METS over 10.5 minutes. And then my primary calls me two hours later telling me to see a cardiologist and not to exert myself or lift weights. Like I'm gonna lay in bed for the next several months? Btw, my echocardiogram was normal. I work out 6 days a week, but I'm highly anxious about what's next. I've scheduled a second opinion from a different cardiologist, but I don't expect much of a different answer. Probably either a CT angiogram or catheterization comes next. Meanwhile, I carry around a 325mg aspirin to chew in case of an emergency. :(
@@ayokay123 I am taking vitamin D and it is helping with my lightheadness and woozyness I did not feel this way until I caught covid me and my wife have been getting woozy since covid
I also got covid for the second time this past March 1st. Not feeling 100% since then and definitely don't have the exercise capacity I used to, which is what led me to get the stress test in the first place. I wish that dissolvable magnesium stents were more advanced than they are now. :(. @@thekingsson1757
Pacemaker deliberately turned off does it still pace Canton Ohio been in HUD housing shocked
You tibe
I had a ekg test done my doctor told me I had heart disease seen the cardiology this morning he did a ekg said my right artery is showing a blockage I do a stress test in December. Once I left my chest and jaw is hurting smh my doctor told me to take my ibuprofen 800 for pain.
Hlo sir,I haveing symptoms like mild chest pain and shoulder pain but shoulder pain comes more while resting or while walking and I had tested Echo, Tmt, x-ray, Holter EcG all test are normal Dr said it's been 15 days ago I had tested but this symptoms come and goes what to do about this I need further test for it or sir what to do please suggest me iam sad and afried about this..
I have same problem
But I have this problem since 5 months at that time it was very painful to do complete only 2 minutes walk but now I can walk with a Speed of 5.5 km/hr more than 1 hour non stop without any medicine only change my daily routine and food also
@@r.o.d.sfootballclubmoradab5333 where do u get pain..
Doctor what happens after this stress test my mom is paralyzed she shaking for 40 minutes after she doesn’t function she can’t move the legs, arms , hands and standing I don’t understand why because I understand the side effects but the doctor tell me this is not normal 🤷🏻♀️😔
What does borderline mean ?
I’m scared…. I have my test in a few weeks. I have shortness of breath when I do anything physically
Any good news?
@@briansosa8282 he ded
Yeah just had mines go tomorrow for results. I have asthma so your breathing doesn’t mean it’s your heart could be asthma
@@briansosa8282 well my heart testing okay. Apparently I developed asthma and didn’t know it. I’ve lost 85 pounds since last year so that helps.
@@shrysm I am!?!
If mild, what medication do they use!
Usually beta blockers, an antiplatelet, and aspirin....for the rest of your life.
That was very helpful. Thank you!
very good video
Can abnormality be reverted?
في قلوبكم مراض فزاد الله مراضا
اذا تقصد الشوذ القذر الجنسي
Thanks I'm currently waiting for my results
How did it go?
Come back All clear lucky..very strange experience though
@@lav773 it's good to read that.
Can these blockages be seen on an echo? My echo is fine but I have been told I need a stress test.
Sometimes they can't I've had echos done as well and a regular stress test treadmill but came out abnormal so know there sending me to do a nuclear stress test to look more further into my heart.but hopefully everything is going well for you🙏🙏
@@lamujerdelatexxana_8565 how long before they send you to nuclear test?,and hows your result
@@briannegnubu2346 it takes weeks after nuclear stress test is done to get the results
@@lamujerdelatexxana_8565 so they send you right away to do the nuclear test after treadmill stress test,i have stress test coming up this week but have vacation planned in next 2 weeks
@@briannegnubu2346 they send me to do a nuclear stress test cause regular stress test came out slighly abnormal
Wonderful doctor,
Thanks for the info. I have to decide between Catheter or CT scan. Part of me thinks catheter so while in there they can put a stent if needed preventing 2 procedures
What did you decide on and how are you doing now? I will have to make the same decision soon as well.
@@kristieandjeff2720 CT Coronary Angiogram. Part of me is hoping the stress test was wrong. They are wrong 25% of the time. Hoping to avoid the catheter. Either way it is a lot of radiation unfortunately.
Any good news?
@@briansosa8282 Very good news. My arteries were all clear! Either all the supplements like K2, garlic, cayenne pepper, D3, and c worked or the 4 pastors that prayed over me helped the good lord heal me.
@VIJAY cardiologist said I did with two abnormal stress tests.
I'm 58 and had a CT Calcium test, the score was 209. From my understanding the existence of this calcium indicates that I have plaque. My Cardiologist put me on 10mg of statin, 81mg of Bayer, my cholesterol is only 137, blood pressure is normal. He also wants me to do a stress test, what good will this do if this test doesn't tell me or the doctor the amount of plaque/blockage, because I obviously have plaque. Wouldn't a Angiogram be more productive?
Fyi, there's a flip side to having calcium in the arteries. Plaque calcifies over time (calcium). Calcified plaque tends not to break off, causing a heart attack. It's the soft plaque that usually causes the problem, but guess what?.....soft plaque doesn't show up on a CT Calcium test. You can't win either way. :D
@@ayokay123 You are 100% correct! My 209 score went down to 191 when I did a CT angiogram, however the CT angiogram showed MORE soft plaque that was not calcified. So the test results raised my score because of this soft plaque. Next up for me is a full Cath next week.
I'm trying to avoid the cath lab like the plague, but will probably end up there anyway. After reading a LOT of studies, I've come to the conclusion that if you're not having a heart attack, you should think very carefully before allowing a stent to be placed. Medicine and lifestyle changes have been proven to be just as effective in preventing a first heart attack as a stent, and neither substantially reduce all cause mortality. If I ultimately undergo a cath angiogram, I'll be very tempted to give instructions to not place a stent unless there's over a 90% occlusion in a major artery like the LAD. Best of luck. READ before making a decision. The cath lab is a HUGE profit center for hospitals and interventional cardiologists are always eager to stent instead of going the medicine route. @@danc3746
@@ayokay123 I completely understand, but I am not so sure I want to "wait" for a heart attack in order to do a cath and stent. I may not make it out of round one. My cardio told me, and I have also read that they will not stent unless its 70% or more blockage. At this point after a CT Score test (209), Nuke Stress test (passed), and now this CT Angiogram test result reporting a significant soft plaque finding, I rather not live on a prayer and a "maybe", I would rather them do the cath to finally see what is really going on in there. If I need a stent then so be it. I rather not take a chance on a lifestyle change and diet. I know many people with stents and all are fine. I rather not take any chances, but I totally understand your concerns.
Trust me, I understand the fear and anxiety of not knowing what's going on in the arteries and wanting to address it BEFORE heart muscle damage (or death) from a heart attack occurs. We both GET IT. A complicating factor I failed to mention before is that I also have chronic kidney disease with only 50% function. This presents a twofold fear: 1) having to be on medication for the rest of my life that is toxic to the kidneys (NSAIDS like aspirin), and 2) the possibility of contrast-induced acute kidney injury (CI-AKI) as a result of the angiogram. It's very daunting to think about the possibility of walking in for an angiogram and walking out having to undergo kidney dialysis for the rest of my life. I have to weigh all these things. You are quite fortunate that you don't. When you add up all my risk factors (age 65, kidney disease, stress, and sedentary lifestyle for many years), it definitely presents a cardiologist's dream. In the end, I'll probably get the angiogram. A funny thing is that if you saw me, you'd laugh at the fact that I'm as shredded as any kid who works out at the gym and have never been overweight or smoked. Well, at least my echocardiogram came back normal, which means that I don't have heart failure. Thanks God for small favors. :D @@danc3746