Hi There … Dr Sharka Question I Am A 50

Posted on Fri, 22 Jul 2022

Question: Hi there … dr Sharka question I am a 50 year old women who has had chest pain on and off since I was a teenager I have had multiple cardiac work done annually sometimes more than once the following test have been preformed :
Ecg - non spacific at wave abnormality
Echo - trace mvp otherwise normal
X-ray normal
Cardio strip occasional pvc
Loop normal
Stress test normal 2021 Dec
Blood work normal traponin done in Feb 2022
Most recent work up done
Echo - attached
Ecg - attached
Cardio strip - normal
Blood work normal
Blood pressure normal
My question is what is the chance of missed blockages and should I get further testing done as I am traveling soon

Answered by Dr. Ilir Sharka (8 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

Welcome back to Ask a Doctor service!

I understand your concern and would explain that it is less likely that you suffer from a blockage of coronary arteries.

Anyway, considering the ECG findings I would recommend performing a coronary angio CT scan or a cardiac angio- MRI in order to be completely sure that nothing serious is going on.

You should discuss with your doctor on the above tests.

I remain at your disposal in case of further questions whenever you need!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (1 hour later)

My cardiologist indicated that my ecg is always like this … I am allergic to the XXXXXXX for Ct can I do a stress test ?
My recent appt with him he indicated that with all the tests I have done there was no need for a stress test or ct scan … but I would prefer to do one or the other before I travel is my ecg very bad ?

Follow up: Dr. Ilir Sharka (9 minutes later)

Am I in immediate danger

Answered by Dr. Ilir Sharka (33 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

You are not at immediate danger, so there is no reason to panic.

I recommend performing a new cardiac stress echo just to be sure that there is no coronary artery blockage, as long as you fear from an allergic reaction to the contrast.

Hope you will find this information helpful!

I would be glad to assist you again in case your

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (23 hours later)

Hello thank u … my most recent stress test was Dec 2021 and it was normal

Answered by Dr. Ilir Sharka (15 hours later)

Brief Answer:
There is no reason to panic about your healrt.

Detailed Answer:
Dear XXXXXXX

Thank you for the additional information!

This is very reassuring that nothing serious is going on!

So, there is no reason to panic about a blocked coronary artery.

There is no reason to perform any of the above mentioned tests before your trip.

Hope you will find this information helpful!

Please let me know in case of further uncertainties!

Wishing all the best,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (8 hours later)

Hi I have uploaded my stress test from Dec 2021 thanks

Answered by Dr. Ilir Sharka (21 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I carefully reviewed your stress echo and its negative for coronary artery disease.

So, considering the short period of time since you performed this test, there is no reason to worry about it!

There is no need for further cardiac tests.

Hope you will find this information helpful!

Please let me know in case of further questions whenever you need!

Wishing all the best,

Dr. Iliri

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar