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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Worried About Having Cardiac Arrest. ECG, ECHO, Stress Test And Blood Tests Normal. Any Advice?

Hi, I'm sceard that I'm going to get cardiac arrest, even though all tests came back spot on, ECG, echo, stress test, blood, x ray, 24h holter, but I'm still paranoid. I've been getting light dizzy spells for about a year, on and off. But still running to the doctors all the time. Please help! To many athletes die of cardiac arrest, so because of that I've stopped going gym, running and playing football.
Sat, 11 May 2013
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General & Family Physician 's  Response
Hi , thanks for using healthcare magic

Cardiac arrest would normally occur in persons who are at risk for example a history of uncontrolled hypertension, high cholesterol, history of smoking, heart disease.It occurs because an area of the heart stops working usually because it does not receive enough blood.

The ECG would identify if there are any abnormal rhythms, rate of the heart, it would also identify any areas with reduced blood supply- this would increase the chances of a heart attack. The holter is basically a 24 hr ECG and would identify any changes not seen in the ECG.

The echo would look at the structure of the heart, identify any enlargement and any areas that are pumping well.It can also identify any areas with reduce blood supply

The stress test would look at how your heart reacts during activity, again it would identify if there is reduced supply or any areas of stress during activity.

If all of these tests are clear with no problems or abnormalities identified it means that your heart is not enlarged ( this is the reason athletes have heart attacks), it is pumping at a appropriate rate and rhythm, contracting and relaxing well and there are no areas of decreased blood supply.

BAsed on those it would be extremely extremely unlikely that you would have a heart attack in the near future.

You may want to consider speaking to someone about your fears before the lack of activity causes problems. Decreased physical activity is a risk for heart disease.

I hope this helps
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Worried About Having Cardiac Arrest. ECG, ECHO, Stress Test And Blood Tests Normal. Any Advice?

Hi , thanks for using healthcare magic Cardiac arrest would normally occur in persons who are at risk for example a history of uncontrolled hypertension, high cholesterol, history of smoking, heart disease.It occurs because an area of the heart stops working usually because it does not receive enough blood. The ECG would identify if there are any abnormal rhythms, rate of the heart, it would also identify any areas with reduced blood supply- this would increase the chances of a heart attack. The holter is basically a 24 hr ECG and would identify any changes not seen in the ECG. The echo would look at the structure of the heart, identify any enlargement and any areas that are pumping well.It can also identify any areas with reduce blood supply The stress test would look at how your heart reacts during activity, again it would identify if there is reduced supply or any areas of stress during activity. If all of these tests are clear with no problems or abnormalities identified it means that your heart is not enlarged ( this is the reason athletes have heart attacks), it is pumping at a appropriate rate and rhythm, contracting and relaxing well and there are no areas of decreased blood supply. BAsed on those it would be extremely extremely unlikely that you would have a heart attack in the near future. You may want to consider speaking to someone about your fears before the lack of activity causes problems. Decreased physical activity is a risk for heart disease. I hope this helps