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re: Question for OT cardiologists

Posted on 4/1/19 at 3:06 pm to
Posted by cleeveclever
Baton Rouge
Member since Aug 2008
2046 posts
Posted on 4/1/19 at 3:06 pm to
Did the doctor indicate the concern, beyond the irregular heartbeat?

Normally, I'd say that a battery of tests for someone that is asypmtomatic is excessive but if there is something the cardiologist is wary of, i'd definitely have them clarify the concerns before any further testing.

My 45 yr old brother had a massive coronary in February. Fit, active guy with zero heart-related symptoms had a completely occluded widowmaker. Went into afib while exercising and was thankfully in the ambulance on the way to the emergency room when he flat-lined.

He survived but the fact that he showed zero symptoms before the event, was one of the more terrifying aspects of the ordeal for him.

Again, if there is no medical cause, then question the order. If there is a reasoning, then demand the doctor share the reasoning.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 4/1/19 at 3:06 pm to
quote:

this is more of a proctology type of board
Well, it is when you're here.
Posted by OWLFAN86
The OT has made me richer
Member since Jun 2004
176905 posts
Posted on 4/1/19 at 3:37 pm to
cause you homos like looking at my a-hole
Posted by ruzil
Baton Rouge
Member since Feb 2012
16972 posts
Posted on 4/1/19 at 3:41 pm to
Women don't usually have symptoms of cardiovascular disease like men do.

I know, with their penchant for complaining, this may not make sense, but it is true regardless.

Do what the md wants.
Posted by LCA131
Home of the Fake Sig lines
Member since Feb 2008
72640 posts
Posted on 4/1/19 at 3:42 pm to
quote:

cause you homos like looking at my a-hole



Right there about 8" above your leaky tits?
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 4/1/19 at 3:56 pm to
I had the same tests for irregular heartbeat but never recommended an angiogram. I would need a really good reason for that.
Posted by Scruffy
Kansas City
Member since Jul 2011
72365 posts
Posted on 4/1/19 at 3:57 pm to
Tell her to ask the doctor why he wants to do these things and she can make a decision.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 4/1/19 at 3:59 pm to
Her doctor needs to give her a little more information, in fact he/she is obligated to present her with the facts so she can make a decision. It’s called “Patient’s right to know”
And the information cannot be wish washy BS.
Posted by Jim Rockford
Member since May 2011
98590 posts
Posted on 4/8/19 at 2:20 pm to
Had her followup today. Ventricular tachycardia. Cardiologist still wants to do an angiogram. SO is reluctant. As a compromise, cardiologist recommended an arrhthia specialist. That's where things stand right now.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
35710 posts
Posted on 4/8/19 at 2:28 pm to
quote:

Cardiologist still wants to do an angiogram. SO is reluctant.


I'd go with the doctors opinion on this one. Or at least go see another doctor.
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 4/8/19 at 2:40 pm to
quote:

I'd go with the doctors opinion on this one. Or at least go see another doctor.


This, from someone beating HF. Beat it again this pass weekend. Went into a cardo stroke Friday. I was like WTF? Never hear of a cardo stroke.
Posted by 14&Counting
Eugene, OR
Member since Jul 2012
37820 posts
Posted on 4/8/19 at 2:48 pm to
quote:

SO is asymptomatic, normal weight, nonsmoker, and exercises 4-5 times a week. She is reluctant to do another test without any symptoms, particularly an invasive one. Should we be concerned, or is the Dr practicing defensive medicine/Running up a bill? The Dr is very well regarded as best we can tell.


Yes you should be concerned....it is likely an arrhythmia or an irregular heartbeat which is a problem with the electrical circuitry in the heart. Your S.O. is younger I assume so she may not have noticed. It can be a minor annoyance or it can kill you eventually. You can easily form blood clots in the heart's big chamber and it can get thrown out into your circulatory system and lead to a stroke. Your kidneys also do not perform efficiently and can get damaged over time. It also can damage your lungs. These are more sever cases but it can lead to congestive heart failure as well.

Good news is its easily treatable and manageable. however, DO NOT IGNORE IT!
This post was edited on 4/8/19 at 2:51 pm
Posted by VABuckeye
Naples, FL
Member since Dec 2007
35684 posts
Posted on 4/8/19 at 3:03 pm to
I debated getting a 3D heart scan done that my doctor recommended. I had to pay for it out of pocket. I had 70% blockage in the top and 95% blockage in the bottom of the widowmaker. That test saved my life.
Posted by Tigerbythetale
Las Vegas
Member since Aug 2014
1458 posts
Posted on 4/8/19 at 3:22 pm to

So you took your sports car to the mechanic and he says that even though she runs great, he wants to do a $25k diagnostic machine test.
Humm

EchoCardiogram is far less invasive and far less expensive.

I'm just sayin...
Posted by dallastigers
Member since Dec 2003
5784 posts
Posted on 4/8/19 at 4:53 pm to
quote:

Ventricular tachycardia


If this & irregular heartbeat has been showing consistent on tests that’s not something to ignore, but I thought this was more electrical and Dr would be talking treatment. I am guessing blood work for electrolyte issues hasn’t shown problem to fix, and she doesn’t have family members with same issue that would make it more obvious.

Angiogram and the Calcium score mentioned by others are more about blockage (calcium score more about hardened blockage), but maybe exact cause has not been determined and looking for existing heart disease cause now before recommending treatment.

Or Maybe she is just trying to get an Apple Watch4?

Seriously If tests have consistently shown Ventricular tachycardia and irregular heartbeat caused by some kind of electrical problem for some women who otherwise seem healthy the first outward symptom they get with electrical issues they better hope a Defibrillator is near. Also many women with heart problems don’t have the typical signs men do.

Make them explain what has consistently shown up in all tests, and why diagnosis then talk more tests without talking treatment.
This post was edited on 4/8/19 at 5:04 pm
Posted by p0845330
Member since Aug 2013
5704 posts
Posted on 4/8/19 at 5:04 pm to
Ventricular tachycardia is not something to take lightly. Let the experts figure out the underlying cause, without delay, and get it corrected.
Posted by jeffsdad
Member since Mar 2007
21605 posts
Posted on 4/8/19 at 5:08 pm to
SO is not asymptomatic. She has abdo. issues. Females can have heart issues show up in odd places.

go to the fricking doc and get an angiogram.
Posted by Jake88
Member since Apr 2005
68636 posts
Posted on 4/8/19 at 5:09 pm to
V-tach is serious. I wouldn't prolong the workup. Do the cath and see an electrophysiologist.
Posted by jeffsdad
Member since Mar 2007
21605 posts
Posted on 4/8/19 at 5:10 pm to
Practically same story here. straightlined for 4 minutes.
Posted by jeffsdad
Member since Mar 2007
21605 posts
Posted on 4/8/19 at 5:12 pm to
I highly recommend buying a big life ins policy before she gets diagnosed, cause she ain't getting one after the diagnosis.
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