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Confirmation of angina through treadmill test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   My husband, who is a physician, has experienced severe chest pain radiating down his left arm after walking up a steep street in our neighborhood. This began 3 days ago. He is 75 years old, and has walked daily, and done strenuous yard work for years. He does have a family history of heart disease. He is convinced that it is angina, and we are going to contact a cardiology group tomorrow. We are currently in California (our home is in Indiana) to help in the care of our new granddaughter when our son & his wife return to work. I am sure that my husband is a good diagnostician, but I shudder to think about the possibilities, i.e., a stent or bypass, the recovery period.
Doctor :   Hi,
User :   Hello
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
User :   OK
Doctor :   How is the pain now ?
User :   No pain. In fact, the pain subsides when he is walking back down the hill.
User :   No pain any other time. No shortness of breath or nausea.
Doctor :   ok, Has he gone through TMT test
User :   Nothing yet. He just told me about this today. What is that ?
User :   Treadmill? I expect he will have to go through that when we contact a physician.
Doctor :   TMT is called treadmill test, it confirms exercise induced angina
Doctor :   and if it turns positive , then the next step woud be about getting an angiography
User :   He is comfortable with waiting until tomorrow. This is going to be rather difficult since we are out of state. In your opinion, do you think, if he has significant blockage the insurance company will insist he return to Indiana for treatment, or is this something that should be taken care of right away?
Doctor :   til angiography i would consider it to be a must now
User :   a must now? Please clarify that
Doctor :   since the angiogarphy gives a detailed report abt the % of block then the availability of time and the risk% can be determined
Doctor :   i mean getting an angiography is an emergency
Doctor :   after confirming about angina on the TMT
User :   So, don't wait until tomorrow to see a physician?
User :   Remember he is a stubborn doctor.
Doctor :   i am sorry , if he and i am right and its angina , then i would not consider waiting a choice
User :   I can get him to go, if I really insist. I think. But he is convinced that even if he goes in today, they will still schedule him for all the tests and that may take a few days.
User :   Thank you. I just told him what you said.
Doctor :   You are welcome
User :   And he is going to go in. Thanks again Doctor.
Doctor :   good
Doctor :   I wish good health for him
User :   I will tell him and you take care.
Doctor :   hanks for consulting me , kindly provide your feedback
Doctor :   Thanks*
Doctor :   take care
Doctor :   Bye for now
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