Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
Done Myocardial Study. Chest Heaviness Radiating To Shoulder
Got a myocardial study report here, would you please tell me more specify. exercise lasted nearly 6 minutes to a modest peak workload of 78 watts with blood pressure and pulse rate increasing from 94/45 and 61 to 120/60 and 140. The stress test was limited by fatigue without any clinical symptoms suggestive of ischaemia. mild upsloping ST changes. stress and resting SPECT images appear normal. Gated resting SPECT images show normal global and regional left ventricular contractility, with the estimated EF in excess of 65%. My GP just said everything s OK, but I feel chest heaviness and radiating to the left shoulder .
Hi,
Thanks for posting your query.
Your stress test appears to be invalid as exercise last for only six minutes and a stress test is called as valid if 85% heart rate is achieved.
Rest part of your stress appears to be normal.
Your SPECT test and ejection fraction is also normal.
So your all cardiac t\investigations are in normal limit.
Your chest heaviness and radiation to left shoulder could be due to lung pathology with muscular ache in left shoulder.
You should consult with your treating doctor/ internal medicine specialist and should go for thorough check up.
You should also go for chest x ray and left shoulder x ray.
You should also go for spirometry.
Meanwhile, you should take analgesics along with muscle relaxants.
For chest heaviness, you should use inhalational therapy with beta agonist and anticholinergics.
Take care,
Dr. Mayank Bhargava
hi,
your myocardial stress imaging report was absolutely normal. And if you are still getting chest heaviness you evaluate for other non cardiac causes . mean while you avoid stress and control yor risk factors like b.p., diabetes.
I find this answer helpful
1 Doctor agrees with this answer
You found this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Done Myocardial Study. Chest Heaviness Radiating To Shoulder
Hi, Thanks for posting your query. Your stress test appears to be invalid as exercise last for only six minutes and a stress test is called as valid if 85% heart rate is achieved. Rest part of your stress appears to be normal. Your SPECT test and ejection fraction is also normal. So your all cardiac t\investigations are in normal limit. Your chest heaviness and radiation to left shoulder could be due to lung pathology with muscular ache in left shoulder. You should consult with your treating doctor/ internal medicine specialist and should go for thorough check up. You should also go for chest x ray and left shoulder x ray. You should also go for spirometry. Meanwhile, you should take analgesics along with muscle relaxants. For chest heaviness, you should use inhalational therapy with beta agonist and anticholinergics. Take care, Dr. Mayank Bhargava