Re: Causes for a .5 mm ST depression
From: janet (janet_at_mindspring.com)
Date: 03/29/05
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Date: Tue, 29 Mar 2005 00:01:00 GMT
thanks for your responding! my blood pressure goes up and down but only for
the past 4 years. i say 'pre-hypertension' because sometimes it's like
140/90 and sometimes when i go have it checked it's 126/80.
i don't think it would hurt to be on a blood pressure med or diuretic.
janet
"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in message
news:42488C13.DF3C610F@heartmdphd.com...
> elgoog wrote:
>>
>> Andrew B. Chung, MD/PhD wrote:
>> > janet wrote:
>> > >
>> > > i went in for a treadmill stress test and before i even got on the
>> treadmill
>> > > the NP noticed a small, .5 mm ST depression. i went in for the
>> stress test
>> > > because of premature atrial contractions which really bother me. i
>> am a 53
>> > > yr old female, non-smoker, de-conditioned, 10 lbs overweight.
>> cholesterol
>> > > isn't great but not bad, pre-hypertensive. have never had any cx
>> pain. i
>> > > did the stress test with no problems but the cardiologist wants me
>> to come
>> > > back for a stress test/echo. strong family hx of coronary heart
>> disease.
>> > > anyways, anyone know why i might have this minimal ST depression?
>> > > thanks!
>> > > j
>> >
>> > Nonspecific ST segment and T wave changes can occur for many reasons
>> > some cardiac and some non-cardiac (that's why they are called
>> > non-specific) and require clinical correlation. Based on the limited
>> > information you have provided, would wonder if perhaps you have some
>> > early hypertensive heart disease that is causing the non-specific
>> > changes.
>>
>> Err, she just said she was prehypertensive, and your professional
>> opinion is ealry hypertensive heart disease?
>
> It is possible.
>
>> Wouldn't hypertensive
>> heart disease be considered a late complication of hypertension, and
>> not something to be expected before there is hypertension?
>
> No. We sometimes see it early. The explanation is that people are on
> their best behavior reducing salt intake and exercising the 1-2 weeks
> before visiting their doctor and get the "pre-hypertension" diagnosis
> but the rest of the 50 weeks of the year, they had been hypertensive.
>
>> That would
>> indeed be very early hypertensive heart disease to in fact predate
>> hypertension. :-?
>
> See above. At some point, you are going to realize you are outgunned on
> every front. All the glory belongs to my heavenly Father, Whom I love
> with all my heart, soul, mind and strength :-)
>
> At His service,
>
> Andrew
>
> --
> Andrew B. Chung, MD/PhD
> Board-Certified Cardiologist
>
> **
> Suggested Reading:
> (1) http://makeashorterlink.com/?L26062048
> (2) http://makeashorterlink.com/?O2F325D1A
> (3) http://makeashorterlink.com/?X1C62661A
> (4) http://makeashorterlink.com/?U1E13130A
> (5) http://makeashorterlink.com/?K6F72510A
> (6) http://makeashorterlink.com/?I24E5151A
> (7) http://makeashorterlink.com/?I22222129
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