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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Effective Is Doing The Enzygrome Test?

One week back i went to consult cardiaology doctor that my father gettng the chest pain.so doctors did enzygrome test and said severe triple block vessel ... so i now trying to consult to another doctor is this good decision can doing the enzyfrome test once can effect
Fri, 1 Apr 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion.

In our daily practice we meet every day whith patients with history of chest pain. Typical heart chest pain have some characteristics. They are retro-sternal pains like squizzing , tightness or heaviness. They may irradiate to both arms, jaw and last from 5-20 minutes.

When we deal with a patient with chest pain,according to his symtoms we have to do some examination like an electrocardiogram, cardiac enzymes to exclude a heart attack and the most imortant one ernogometry. I think that your father has done this examination.

It is an examination that tries to identify problems whith coronary heart disease. It doesn't make a dignosis of how many arteries are occluded, it only rises a doubt throught electrocardiogram changes. Than the diagnosis is made through coronary angiography.

So, if your father has already done an ergometry that results whith problems than the next step is angiography to make the definite diagnosis.

If we already have a ergomometey whith problemsit is contraindicated to repeat it.Becouse this means to expose the patient to a potential risc during extreme exertion.

So, my opinion is that the ergonometry should not be repeated if it has problems the first time.The maximum you can do is to discuss its results with another cardiologyst for a second opinion if you are not shure.

Hope I was helpful.Wish your father good health.
Best regards.
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How Effective Is Doing The Enzygrome Test?

Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. In our daily practice we meet every day whith patients with history of chest pain. Typical heart chest pain have some characteristics. They are retro-sternal pains like squizzing , tightness or heaviness. They may irradiate to both arms, jaw and last from 5-20 minutes. When we deal with a patient with chest pain,according to his symtoms we have to do some examination like an electrocardiogram, cardiac enzymes to exclude a heart attack and the most imortant one ernogometry. I think that your father has done this examination. It is an examination that tries to identify problems whith coronary heart disease. It doesn t make a dignosis of how many arteries are occluded, it only rises a doubt throught electrocardiogram changes. Than the diagnosis is made through coronary angiography. So, if your father has already done an ergometry that results whith problems than the next step is angiography to make the definite diagnosis. If we already have a ergomometey whith problemsit is contraindicated to repeat it.Becouse this means to expose the patient to a potential risc during extreme exertion. So, my opinion is that the ergonometry should not be repeated if it has problems the first time.The maximum you can do is to discuss its results with another cardiologyst for a second opinion if you are not shure. Hope I was helpful.Wish your father good health. Best regards.