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Question for OT cardiologists
Posted on 4/1/19 at 2:27 pm
Posted on 4/1/19 at 2:27 pm
Story thus far: SO went to internist a few weeks ago for abdominal issues. Nothing serious found there, but Internist noticed irregular heartbeat and recommended a cardio workup.
Cardiologist put her on a heart monitor for 7 days. Based on that, recommended a nuclear stress test, which took place Friday. Got a call from the nurse today saying the Dr wants to do an angiogram.
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.
Cardiologist put her on a heart monitor for 7 days. Based on that, recommended a nuclear stress test, which took place Friday. Got a call from the nurse today saying the Dr wants to do an angiogram.
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.
This post was edited on 4/8/19 at 6:43 pm
33
Posted on 4/1/19 at 2:28 pm to Jim Rockford
Pics of her for a baseline...
Posted on 4/1/19 at 2:28 pm to Jim Rockford
quote:pics
SO
Posted on 4/1/19 at 2:28 pm to Jim Rockford
I need more information. Including pics.
If the nuclear stress test showed evidence of exercise induced ischemia she absolutely needs a heart cath.
If the nuclear stress test showed evidence of exercise induced ischemia she absolutely needs a heart cath.
Posted on 4/1/19 at 2:29 pm to Jim Rockford
this is more of a proctology type of board
Posted on 4/1/19 at 2:30 pm to Jim Rockford
Ask him to do a CT coronary angiogram first.
Posted on 4/1/19 at 2:30 pm to Jim Rockford
Did they share their suspicions or concerns?
Posted on 4/1/19 at 2:30 pm to Cosmo
She walks for 1-1.5 hours at a brisk pace, does yoga and pilates, all without difficulty. Is it likely someone like that could have ischemia?
Posted on 4/1/19 at 2:31 pm to Jim Rockford
believe it or not, most of my friends that have suffered a heart attack at a younger age were the fittest sumbitches i know.
don't chance it.
don't chance it.
Posted on 4/1/19 at 2:31 pm to Jim Rockford
i've been known to diagnose heart conditions with the cusp of my hand
Posted on 4/1/19 at 2:31 pm to Jim Rockford
quote:
Running up a bill?
that's just the beginning. just wait until they install one of the modern defibrillators in her
Posted on 4/1/19 at 2:33 pm to Jim Rockford
quote:
Is it likely someone like that could have ischemia?
Idk. How bout asking the cardiologist if the stress test showed induced ischemia. If it didnt and she is asymptomatic I would not get a heart cath.
A calcium score CT is pretty cheap and if its clean she is likely good. I think some places will do those for $100-200 cash. No insurance needed.
This post was edited on 4/1/19 at 2:35 pm
Posted on 4/1/19 at 2:35 pm to tgrbaitn08
Has had several EKGs. The only thing the Dr has said so far is she is concerned about the irregular heartbeat.
Posted on 4/1/19 at 2:37 pm to Jim Rockford
Which hospital?
Posted on 4/1/19 at 2:38 pm to pjab
STPH
Posted on 4/1/19 at 2:45 pm to Jim Rockford
Call someone and get a large critical illness policy before she has a formal diagnosis.
Posted on 4/1/19 at 3:00 pm to Jim Rockford
Get it checked out, if your heart stops working, you stop working.
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