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What Do The Following ECHO And Stress Test Results Indicate?

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Posted on Mon, 8 Jun 2015
Question: I had a stress test done last month as part of a work up for palpitations (pvcs) that I have struggled with for a long time now. I also had another echo as I have had some prior. I also have history of svt with ablation in 2006. I take 50 mg l abetalol bid for the palpitations.
my questions are:
1.) I had a XXXXXXX hr of 19 (89/ XXXXXXX hr) and met of 7 on XXXXXXX protocol with normal b/p variants. I did have occasional pacs which surprised me bc I didn't feel them. is this ok, sometimes I get pvcs during exercise but usually after.
2.)Also said on stress test no significant st-t wave changes from base line? what does this mean?
3.) my echo said trivial regurgitation for the mitral, tricuspid, and pulmonary valves. what does trivial regurgitation mean? is it serious? I was told by the doc the echo was normal.
4.) my ejection fraction was 65/ is this ok?
also are pvcs really ok to have? they scare me and prevent me from wanting to do things. My pvcs have an inferior axis does this tell you where they come from? pos. rvot?
doctor
Answered by Dr. Ronald Schubert (4 hours later)
Brief Answer:
Very normal echo and stress test

Detailed Answer:
Thank you for contacting HCM with your health care concerns

you have several questions relating to your recent cardiology work up. Your first question is about PACs. These premature atrial contractions are very normal and most people have them but never feel them. These are completely benign and have no indication of any heart disease.

You second question is about your stress test. you did get up to met of 7 in a bruse protocol which means you had a good workout and able to stress the heart enough to determine if there are any danger sign. A danger sign would be ST-T wave changes and since you had none that is a great sign. The ST-T changes are seen with people having ischemia or not enough oxygen getting to the heart. Your stress test is very normal

The echocardiogram shows some minor leakage on the valves. These are the valves that prevent blood from flowing backwards. The trivial mean exactly that minimal leakage and not at all clinically significant.

Your last question was if an ejection fraction of 65 ie OK and again it is more than OK it is excellent.

I congratulate you on have a very healthy heart.

I hope I answered your question. Please contact HCM again with your health care concerns and questions.
Note: For further queries related to coronary artery disease and prevention, click here.

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

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What Do The Following ECHO And Stress Test Results Indicate?

Brief Answer: Very normal echo and stress test Detailed Answer: Thank you for contacting HCM with your health care concerns you have several questions relating to your recent cardiology work up. Your first question is about PACs. These premature atrial contractions are very normal and most people have them but never feel them. These are completely benign and have no indication of any heart disease. You second question is about your stress test. you did get up to met of 7 in a bruse protocol which means you had a good workout and able to stress the heart enough to determine if there are any danger sign. A danger sign would be ST-T wave changes and since you had none that is a great sign. The ST-T changes are seen with people having ischemia or not enough oxygen getting to the heart. Your stress test is very normal The echocardiogram shows some minor leakage on the valves. These are the valves that prevent blood from flowing backwards. The trivial mean exactly that minimal leakage and not at all clinically significant. Your last question was if an ejection fraction of 65 ie OK and again it is more than OK it is excellent. I congratulate you on have a very healthy heart. I hope I answered your question. Please contact HCM again with your health care concerns and questions.