Cardiovascular :: Procedure Of Thallium Stress Test?
Mar 25, 2014
I went for a walk with a close friend of mine yesterday, we usually take our dogs together for a walk through the park and play with them. Anyway, he told me yesterday that he has to do this Thallium stress test. He seems so cool and calm about it that I can't really understand how is he managing to stay calm, I would freak out. I mean, I know it is a cardiac test and that it has something to do with the heart, therefore it is probably dangerous. Since I don't know any details, can someone describe this procedure to me?
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I am 54yrs of age. Today was the first time I had chest (burn) pain while walking up steps. Cannot jog or run due to MS, so I climb steps for exercise. Along with the chest pain I was wheezing. Do I have a blockage?
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I'm a 43yr old male with no history of heart disease, though I do have low HDL cholesterol and mild hypertension (130's/90's) and am on half a Benicar 20mg pill daily. I lost 100lbs 5 years ago and have kept it off with regular exercise (I run 5-7 days per week) and heavy weight lifting (2-3 days/week), plus a much better diet than I ever had while in my obese days. I'm still overweight at 210lbs, 6'2", but in a much better place, I think, and continue to drop a pound every month or so!
Recently, due to a chronic issue with abdominal discomfort that sometimes migrates into my chest, I had a treadmill stress test and echo at the local county hospital and would like to know if I should ask more questions about the results of the stress test (echo still pending).
An echo was performed before the treadmill portion and then ASAP after I hopped off the treadmill (within 10-15 seconds at most). I had zero trouble with the treadmill test, reaching my heart rate goals after about 18 minutes of continuous increases in speed and incline. No discomfort, dizziness, etc. and blood pressure didn't do anything weird, nor did there appear to be any arrhythmia.
The result published by the attending doctor (my regular GP) are as follows:
"... initial EKG was a sinus rhythm ... maximal ST depression was -2.2. However, he was asymptomatic and the depression was in one lead only. This is an electrically and symptomatic negative exercise stress test ..."
I've read that this amount of ST depression is significant, but is it true that a single-lead depression is a negative result? Should I at least inquire about which lead was negative? The tech did have some trouble getting one of my leads to read at first, but seemed to get that worked out before I hopped on the treadmill - I should've asked which lead that was; located on left side rib cage under arm.
I have digestive issues that often present with chest discomfort, fullness, jaw or esophagus tightness, etc. and that leads to anxiety, as you might imagine. Perhaps I'm being overly anxious about this, too...just want anyone with experience or knowledge of these tests to weigh in on whether I should probably just let it go or follow up once the echo comes back in a few more days.
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I was diagnosed Hashimotos this year.
Here are my adrenal stress test results:
Sample 1 - 3.4 (12-22)
Sample 2 - 6.1 (5.0-9.0)
Sample 3 - 4.8 (3.0-7.0)
Sample 4 - 3.2 (1.0-3.0)
DHEA:Cortisol Ratio - 2.62 (within range)
Latest thyroid function test results:
TSH - 2.50 (0.2-4.2)
Free T3 - 4.6 (3.9-6.7)
Free T4 - 15.7 (12-22)
Apparently my doctor says these are normal, yet when I am taking the Levothyroxine my Free T3 drops and my hypothyroid symptoms return. Am I missing something or am I the only one in the world with this problem? I presume the latter.
I am currently dairy and gluten free and my fatigue and constipation have cleared up since on the diet, however I retook my Levothyroxine and within 2 hours I was constipated. The only change I had made was retaking the Levothyroxine but I did increase my fluid intake, too. The reaction I had from the medication is making me doubt the benefits of it. Or could I be undermedicated at 125mcg? The nurse taking my blood last time said 125mcg is a lot for a little person like me to be taking!
So, in order to wipe the slate clean and start afresh with my care, I have since changed doctors and will be asking for the following at my first appointment:
Sex hormone profile - not just the testosterone, FSH, LH and prolactin my endocrinologist carried out but I would like to include the ones she has *missed* - the oestrogen, estradiol and progesterone. I am sure there are others in there...
Full mineral/vitamin profile - but excluding the folate, Vitamin D and Vitamin B12 which were done recently and including a full iron panel.
Repeat thyroid test - why oh why am I experiencing hypothyroid symptoms AFTER I take the Levothyroxine? When I reported this to my previous doctor they have told me they will end my script for Levothyroxine since they are under the impression I get no ill effects without the medication! Are they right?
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Today I had a ECG stress test on a treadmill and after only two and a half minutes my BP went from 140/67 to 236/51. Has anyone heard of it being so high and with such a difference in systolic over diastolic? The diastolic actually dropped while still exercising. I am told to get an echocardiogram stress test now to determine if it is extreme hypertension rather than CAD. Has anyone else had this? Could it be chiari related. I am thinking my problems are heart related rather than chiari related now, but lucky me, it could be both I suppose.
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My doctor's office called and told me I need to see a cardiologist. My doctor not sure what it showed , maybe normal but wants cardiologist to tell us .. Result was " may have problem with circulations with increase workload " not sure what this means,, have appt sept 10.. I had no chest pains with the test, I was just out of shape and winded.. But completed whole treadmill test..
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Heart: NM Myocardial Perfusion Rest Stress Test results?
Findings: Mild Wall hypokinesis perfusion defects are identified in lateral wall, inferior wall and septal wall the calculated left ventricular ejection fraction of 51%
What does this mean normal not to worry or exactly what?
Have irregular heart beat and palpitations for 15 years that I know of..
They think I had a svt attack about 3 weeks ago prompting this test. My heart rate shot over 20 bmp and i could not breath and stayed above 160 for over an hour.
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Hi, new to MedHelp. I just got my results on a patient portal from a stress test that I just had done a few days ago. I don't see my doctor for 2 weeks, but my anxiety just makes me want to know what is going on. Does anyone know how to interpret these results? Thank you for any input you can give.
Findings:
Patient was pharmacologically stressed with adenosine at a
dose of 48 milligrams. No chest pain occurred during stress. A maximal
heart rate of 108 beats per minute was achieved.
Injections of 10 mCi and 30 mCi of technetium 99m Sestamibi were given
for rest and stress imaging, respectively.
SPECT images after each injection show normal size left ventricle. No
fixed or reversible perfusion abnormalities were present. Ejection
fraction was calculated at 72%. No wall motion abnormality.
IMPRESSION: No ischemic changes with pharmacologic stress. Ejection
fraction of 72%. No wall motion abnormality.
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Hubby is supposed to have nuclear stress test, however he has peripheral artery disease and both legs are full of stents, and he cannot walk very far without pretty much pain, was just wondering what is the point of this test if he cannot walk and may not be able to complete it? To make matters worse, we have to pay for the entire test out of pocket as we have a high deductible, I have been reading that the test is expensive. My husband has his cdl, which he does not even use, and they will not renew it without the stress test.
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Diagnosed with dilated cardiomyopathy, had an echocardiogram and my ejection fraction was 25, had a nuclear stress test and it was 38, which is a more reliable test? Dr said sometimes you see a difference in numbers but rarely this much of a difference.
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I am a 31 year old female who was diagnosed with POTS in 2008 at that time I had a normal stress test and has always been able to tolerate my heart rate going up however over the last month I have become short of breath and have been developing chest pain with minimal activities such as showering. I had another stress test on Friday and I was only able to walk 3 1-2 minutes and became short of breath and developed chest pain also my heart rate was 98 at the start and got up to 164 then it took 2 hours to recover that's right 2 hours not 5-8 min and they had to give me iv fluids then I was sent on my way. The report showed hyperkinetic LV and hyperdynamic LV systolic function. All the dr said was it was essentially normal.
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I had a CT angiogram and ultrasound of my legs that showed no blockages; however, the chemical nuclear stress test came back positive for something. What does that mean?
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I was just wondering what comes after a cortisol stim test for diagnosing Addison's Disease ?
I had 2 Cortisol stim tests done one in the afternoon and one in the early morning .
Afternoon test read 2.8 out of 5-15
Morning test read 3.8 out of 5-25 Both low
Do i now have a Acth test done to see if its the adrenals glands or Pituitary or Hypothalamus Producing such low cortisol ?
I have abdominal cramping , hot flashes , constipation . tired , weak and major weight loss 35 + pounds in 8 months .
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i had my period last june 9 2014, then on june 27 and 28 i had a light spotting.den, i felt something's wrong with me..there's a feeling or slight symptoms of a pregnant woman..a boobs are tender to touch and painful..my body feel hot like i was having a light fever..than july 1 i take a pregnancy test and shows positive but faint line.. then, july 2 to 8 i got again spotting.. and goes away.. july 14 i took another pregnancy test shows again positive faint line.. i went to my ob july 18 just to know her what's happening on me. i had that light spotting again..and in transvaginal ultrasound shows that there was a thickening of the lining tells me that i am positive. 5 to 6 weeks, but i have a cyst considered benign.nothing to worry about she said. she gave me medicine duphaston good for 10 days, and i'm going to come back for a follow up appt. on july 28. again the spotting continues sometimes light bleeding, sometimes full on my liners. another medicine duphaston gud for 5 days she gave me because on the ultrasound she saw only thickening of the linings and the baby wasn't developing. then, this day august 1 i came back for the final appt, i took a blood test and shows negative. transvaginal ultrasound shows again the lining on my ovary.
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I am male 30 years old Indian. Had a protected vaginal sex with one girl with unknown HIV status during 11th of August 2013 for 3 times after that I had a foreplay without protection keeping pennis on her vagina without Inserting / penetration into the vagina for 5 minutes but during that event my foreskin pulled back. I am totally convinced on my protected vaginal sex and bit worried on my unprotected foreplay and believing that some of the vaginal precum fluids may entered through my urethra. My anxiety starts since I got mild fever (38 degree) on September 9th 2013 exactly 28th day evening which exists for one night after putting antibiotic injection after two days I faced fatigue exists for 2 days and after 2 days I had mild sore throat with dry mouth exists for one day and after 3 days I faced diarrhea 2 times a day and exists for 3 days.. all these days I got small red spots rashes 10 - 20 no's which on my shoulders and mild night sweats which only on my neck and hand elbows 1 hour after I slept. But I never faced fever on these days expect the day -1. Never faced swollen glands and swollen lymph nodes up to now.
I am totally worried and got anxious and had a Standard HIV antibody rapid test for HIV -1 & 2 on my 53 th day ( i.e.: Oct 4th 2013 - 7.5 weeks from my possible exposure date) and it came as non-reactive,
I took western blot test on my 58th day again it came as negative..
But from Oct 5th I am getting small rashes on my hand and in shoulders and in legs and some of them in legs are itching...
1) Kindly advise me will my 7.5 weeks standard antibody negative & negative western blot test at first day of my 9th week (ie : 9/10/2013) will likely to change positive on my 12th week standard antibody (HIV 1 & 2) testing.
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I have a question I took a oral swab home test today 5 year post exposure condom broke. The exposure was anal sex. My question is i had a few sips of water prior to the test due to dry mouth is my negative result false or not conclusive?
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What happens when you don't pass the 1 hr glucose test, they just called me and told me I didn't pass it and have to go back again next week...
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I have been suffering from some internal Hemorrhoids that prolapse after a bowel movement for almost a decade. After they prolapse i gently insert them back into where they belong and it has been ok and hasn't affected my life much.
However the past a few days ago after making a bowl movement i noticed when they prolapsed they were very inflamed and large and painful, i couldn't put them back inside me. I waited until the next morning but unfortunately the couldn't go in so i had to go to a hospital. The doctors managed to insert them back in when they applied some gel but it was painful and not easy.
Then 2 days after same problem but they kept on bleeding, had to go back to the Hospital and same thing.
I hope they get better more manageable soon but i doubt it.
Anyway i really want to avoid the traditional Hemorrhoid surgery as i have read the horror stories on here about being in pain for 4-8 weeks, complications and also i can't afford to take so much time off work.
Hence why i am considering the HAL/RAR Procedure, from my research it is less painful and hypothetically you can be off work for only 48 hours.
has anyone experienced this procedure? What was the pain like?
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I had THD (sometimes known as HALO) procedure 9 days ago, the last couple of days it feels like i have external haemorrhoids back, my husband says they look like them, large and inflamed!... I'm so upset and frustrated, had been feeling ok as was recovering quite well. Very uncomfortable and painful after bms but i was expecting this and had prepared for it mentally and physically. I've not had to strain when going to toilet, in fact going regularly since 2nd day, so no constipation. I've also had a stitch come out today after bm (surgeon said all my stitches were internally) Has anyone else had any similar experiences??...
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As much as I have read about this procedure, I feel somewhat prepared going into my consult visit with the Dr.
I am wondering if there were any questions/discussions anyone feels they should have asked BEFORE the procedure?
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I too am terrified of having a colonoscopy scheduled for this Friday. I have read the different experiences and don't know what to think as the experiences are so varied. Last year I had a flexi sigmoidoscopy without sedation, or pain relief, which was okay - just a bit uncomfortable. A polyps was found and therefore the doctor wants to check for more higher up. But the colonoscopy seems to be more undignified and painful. I do not want to be sedated as (a) I need to keep my memory for work; (b) I do not like being out of control; and (c) I have read some awful experiences of people being sedated. Therefore I am just going to have the pain relief. During the flexi I was embarrassed at the sensation of wind needing to be released and regardless of being told it is part of everyday work for the medics - it is not for me. This adds to the undignified process. So, although intellectually I know that having a colonoscopy will save my life, I am still very worried about the prep, the procedure and of course the results.
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