Question 1

I'm a bit concerned about a TMT test I did a couple of days ago. The results came back as a normal stress test, but while reaching a 100 heart rate during the test, I experienced some mild dizziness that lasted for about 2 minutes. It was manageable and got better after I rested. I could walk and move around fine afterward, but I had a mild headache for the rest of the day. The next day, I felt completely okay, and there were no other symptoms. Should I be worried about this, or is it normal for TMT results? Please check my report and advise.

Accepted Answer

Based on your description and the results of your TMT test showing a normal stress test with no inducible ischemia, it is reassuring that there are no significant cardiac issues detected. The mild and manageable dizziness you experienced towards the end of the test may have been due to the physical exertion during the test, which is not uncommon. It is good to hear that the symptoms resolved after resting and that you were able to walk and move without any difficulty. The mild headache you experienced throughout the day could also be related to the physical stress of the test. It is positive that you felt completely alright the next day and that no other symptoms occurred. I would recommend staying hydrated and getting adequate rest. If you experience similar symptoms during physical exertion in the future, it would be advisable to consult with your healthcare provider for further evaluation. Overall, based on the information provided, there does not appear to be a significant concern, but it is always important to listen to your body and seek medical advice if needed."

Question 2

Hey, a couple of years ago I had a CT coronary angio, but I had a panic attack because of the contrast media, and my heart rate shot up to 120. The staff didn't wait for it to settle and went ahead with the scan. They said my arteries were disease-free and mentioned something about a right circulation and a small caliber artery. How did they even get accurate images with my heart rate that high? Did they just fool me? Also, they originally told me I'd need another CT angio in 10 years. Do you think I need to do a repeat scan now? I'm just really confused about what I should do next.

Accepted Answer

It is possible to obtain accurate images during a CT coronary angiography even if your heart rate increases due to a panic attack triggered by the contrast media. The imaging technology is designed to capture clear images even with some movement. However, if you have concerns about the accuracy of the results or if you are due for a repeat CT angio according to your previous medical plan, it would be advisable to consult with your healthcare provider. They can review your previous scan, assess your current health status, and determine if a repeat CT angio is necessary at this time.

Question 3

I'm wondering how often I should be getting an ECG and an ECHO done. I had them both last year and everything was normal at that time. Now that I've been recently diagnosed with type 2 diabetes, which is under control, and Im also taking a 25mg beta blocker to keep my blood pressure in check, do you think I should be repeating these tests anytime soon?

Accepted Answer

For a patient with well-managed type 2 diabetes and controlled blood pressure on a Betablocker, it is generally recommended to repeat an ECG and ECHO every 1-2 years to monitor cardiac function and assess for any changes. Since your last reports were normal and your conditions are well managed, you can discuss with your healthcare provider about scheduling these tests every 1-2 years to ensure everything remains stable.

I'm really worried because I've been told I have a hole in my heart that can't be cured, and the doctors I've seen said I might not live much longer. Is there anything else I can do or maybe another opinion I should seek? I just want to understand my options better.

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