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Message
OT Docs....stress test question
Posted on 2/25/17 at 4:24 pm
Posted on 2/25/17 at 4:24 pm
I had my yearly lab work done a couple weeks ago and haven't had a chance to do my follow up appointment. Yesterday my doctors office calls and wants to give me a referral to go have a stress test done. Could it have been something about my labs that triggered this?
Posted on 2/25/17 at 4:25 pm to cassopher
Maybe your labs. Or your EKG.
Posted on 2/25/17 at 4:28 pm to cassopher
why don't you ask your doctor why? It may just be they want a different type of evaluation/information they couldn't obtain via labs or ECG.
Posted on 2/25/17 at 4:28 pm to cassopher
quote:
I had my yearly lab work done a couple weeks ago and haven't had a chance to do my follow up appointment. Yesterday my doctors office calls and wants to give me a referral to go have a stress test done. Could it have been something about my labs that triggered this?
Sure, but most often it's nothing. Doctor's want to be safe, especially when being wrong or not catching, double checking something can lead to huge issues for them and you. Don't stress until there's something to stress about, otherwise this is just another test.
Posted on 2/25/17 at 4:30 pm to cassopher
My labs were great, BP, cholesterol, sugar, heart rate all great.
Doc ordered a stress test for me. I asked why.
"How old are you?"
Was the answer. Cheeky bastard
Doc ordered a stress test for me. I asked why.
"How old are you?"
Was the answer. Cheeky bastard
Posted on 2/25/17 at 4:31 pm to cassopher
Doubt it has anything to do with your routine labs. Probably more based on age, risk factors or what you described on your prior visit.
Posted on 2/25/17 at 4:34 pm to cassopher
I am not a doc, but believe me, if anyone involved saw anything that was alarming at all, they would have sent you to the hospital pretty quickly. I think doctors just like to have you do a stress test a few times in your life to be on the safe side.
Posted on 2/25/17 at 4:40 pm to cassopher
Results may be WNL , but if your age fits the risk age, they typically order a stress if you've never had one or it's been several years since your last.
Posted on 2/25/17 at 5:33 pm to cassopher
What's your blood pressure? That's probably what's triggering concern
Posted on 2/25/17 at 5:39 pm to cassopher
Your need for provacative testing also depends on your occupational demands.
Posted on 2/25/17 at 5:57 pm to Shepherd88
128/78 at the time of the lab work.
Posted on 2/25/17 at 6:49 pm to llfshoals
Just hope you don't get a false positive and they call you the next day and tell you to get to the hospital immediately only to find out your arteries are fine.
Posted on 2/25/17 at 7:11 pm to bbvdd
It's a good idea to have one and get a good baseline for the future and their comparisons
Posted on 2/25/17 at 7:13 pm to cassopher
Get that damn calcium test too. Probably saved my life
Posted on 2/25/17 at 7:59 pm to bbvdd
quote:
Just hope you don't get a false positive and they call you the next day and tell you to get to the hospital immediately only to find out your arteries are fine
Bingo...come to find out they did the same thing to my mom a few years earlier.
Posted on 2/25/17 at 8:07 pm to cassopher
Make sure it is a cardiolyte/nuc med stress test not just a treadmill stress test. The difference is that you will have pictures of your heart before and after exercise in addition to the ekg. It is a much more sensitive and specific test for coronary heart disease.
Posted on 2/25/17 at 8:56 pm to Restomod
quote:That's not typical at all. Routine stress testing (i.e. screening) is not recommended. The only thing I could think of is if there was some abnormality on your EKG or if you had any symptoms that the doc may have thought may sound like angina.
Results may be WNL , but if your age fits the risk age, they typically order a stress if you've never had one or it's been several years since your last.
Posted on 2/25/17 at 8:58 pm to bbvdd
quote:A positive stress test isn't an emergency. The next step is an elective angiogram, which can be done outpatient.
Just hope you don't get a false positive and they call you the next day and tell you to get to the hospital immediately only to find out your arteries are fine.
quote:
It's a good idea to have one and get a good baseline for the future and their comparisons
This is not the case.
This post was edited on 2/25/17 at 9:01 pm
Posted on 2/25/17 at 9:07 pm to Dr Dawg
quote:Treadmill stress echo is the preferred test if someone is able to exercise. NM stress testing is fine, but it's a lot more expensive and you get more information with a treadmill stress test (symptoms at a particular workload, ability to assess hemodynamics during exercise, etc).
Make sure it is a cardiolyte/nuc med stress test not just a treadmill stress test. The difference is that you will have pictures of your heart before and after exercise in addition to the ekg. It is a much more sensitive and specific test for coronary heart disease.
To answer the OP...it's best to discuss the reasoning with your doctor first. Without having all the information, it's impossible for anybody on this board to give a good answer. However, there does seem to be a trend of people over ordering stress tests on people who don't really need them. They are generally not recommended in asymptomatic patients outside of rare situations.
This post was edited on 2/25/17 at 9:13 pm
Posted on 2/25/17 at 10:28 pm to stniaSxuaeG
quote:
quote:It's a good idea to have one and get a good baseline for the future and their comparisons This is not the case.
Had the nuclear/hamster wheel test done last week..The doctor almost verbatim said this to me regarding a baseline. Plan on it taking up to four hours...The earlier you make it in the day the better. It's real easy, great peace of mind.
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