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What Does This Stress EKG Test Result Indicate?

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Posted on Thu, 19 Feb 2015
Question: I recently had a Stress EKG (January 2nd, 2015) due to chest, back, jaw and arm pain. I had numerous EKG's (all normal), Troponin Blood Test: <0.02 (0.00-0.05), and a holter monitor in the fall of 2013 which came back normal (with a clinical demonstration of palpitations). I was also told that I am Vitamin D Deficient: 9 (reference range 30-100).

I am not sure how to interpret my Stress EKG results. I am wondering if you could give me insight? I am wondering if stress EKG result and other test results is something to worry about?

These are the results:

Stress ECG Procedure

Exercise Protocol: XXXXXXX

Total Exercise Time: 6 minutes 3 seconds Workload Achieved: 7.0
METS
Baseline HR: 83 bpm Baseline BP: 118/71 mm Hg
Peak HR: 171 bpm (88% MPHR) Peak BP: 152/81 mm Hg
One Minute HR Recovery: 146 bpm

Symptoms: The patient 's baseline chest pain improved with
exercise, though it did begin to radiate to the right shoulder.

Reason for Termination: Generalized fatigue

Stress ECG Findings: The resting ECG demonstrated normal sinus
rhythm with mild nonspecific TW abnormality in III, aVF. With
peak stress, the ECG demonstrated a normal electrocardiographic
response. No significant arrhythmias were noted. The Duke
treadmill score was 6.

Stress ECG Conclusion:
1. Borderline abnormal resting ECG.
2. Fair exercise capacity. 50-55% percentile to age-matched
subjects.
3. Normal hemodynamic response to exercise.
4. Normal heart rate response to exercise.
5. The ECG response to exercise is normal.
6. No significant arrhythmias were noted.
7. The Duke treadmill score is consistent with a low risk test
result.

Thank you!
doctor
Answered by Dr. Divakara (51 minutes later)
Brief Answer:
It's Normal

Detailed Answer:
HI

Greeting from Dr. Divakara.P     
First of all thanks for choosing Healthcaremagic for posting your query.

Went through all your reports. Your Stress test is normal , so nothing to be worried . Also your Troponin I is in normal range.

Your Holter monitoring showed infrequent Atrial and ventricular ectopics which are extra heart beats and I think that is the cause for your Palpitations.

But overall your reports are normal .

Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (47 hours later)
Can ypu explain the stress ekg results and what it means at a more descriptivelevel?
doctor
Answered by Dr. Divakara (1 hour later)
Brief Answer:
Have explained Below

Detailed Answer:
HI

1. Borderline abnormal resting ECG.--- ECG done at rest is not totally normal .

2. Fair exercise capacity. 50-55% percentile to age-matched

subjects.--- Means for your age , your ability to exercise is good .

3. Normal hemodynamic response to exercise.-- Your Increase in Heart rate and Blood pressure to exercise is within normal limits.

4.The ECG response to exercise is normal.-- Means the ECG taken during exercise is normal.

5. No significant arrhythmias were noted.--- Means no abnormal rhythms in heart beating was noted during exercise.

6. The Duke treadmill score is consistent with a low risk test result-- Means you have low risk for future cardiac problems.


Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.





Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (9 hours later)
Thank you doctor! As far as the borderline abnormal resting ECG...can that be dangerous? Also, what does the resting ECG demonstrating normal sinus rhythm with "mild nonspecific TW abnormality in III, aVf" mean?
doctor
Answered by Dr. Divakara (14 hours later)
Brief Answer:
Nothing to be worried of.

Detailed Answer:
HI

Resting ECG demonstrating normal sinus rhythm means the ECG taken before exercise is showing normal heart rhythm ( Sinus Rhythm is normal rhythm )

Mild nonspecific TW abnormality in III, aVf---Means some abnormal changes are noticed in Leads III , avF but there changes are not following any particular pattern . Changes should follow a particular pattern to be significant. Hence because of these minor changes your ECG is termed as Borderline abnormal.

There is nothing to be worried of.

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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What Does This Stress EKG Test Result Indicate?

Brief Answer: It's Normal Detailed Answer: HI Greeting from Dr. Divakara.P First of all thanks for choosing Healthcaremagic for posting your query. Went through all your reports. Your Stress test is normal , so nothing to be worried . Also your Troponin I is in normal range. Your Holter monitoring showed infrequent Atrial and ventricular ectopics which are extra heart beats and I think that is the cause for your Palpitations. But overall your reports are normal . Hope this information was useful to you. Any clarifications feel free to ask . Regards.