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Minor Heart Attack, Unstable Angina, COPD, Asthma. Prescribed To Undergo Adenosine Stress Test. Treatment?
My Mom just had a minor heart attack , in hospital, had unstable angina , has copd and asthma the cardiologist wants to do an adenosine stress test tomorrow am. I do not believe she has been told the risk - she s been told it needs to be done , Concerned that she has multivessel disease as she is 82 and a hx of smoker. Have tried to steer her toward caterhization . Any thoughts?
Wed, 3 Jul 2013
Dear patient,
In the setting of a documented heart attack, I agree with you that a cardiac catheterization is more reasonable to determine the coronary anatomy and define any high risk lesions that need to be treated. The rationale behind the stress test might be to determine if there is a particular territory that is ischemic. That being said, a normal stress test would not be reassuring given the event.
Yours truly,
Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
In the setting of a documented heart attack, I agree with you that a cardiac catheterization is more reasonable to determine the coronary anatomy and define any high risk lesions that need to be treated. The rationale behind the stress test might be to determine if there is a particular territory that is ischemic. That being said, a normal stress test would not be reassuring given the event.
Yours truly,
Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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