Re: This is annoying - results of nuclearr stress test

Bill wrote:
>
> I noticed a few weeks ago that I was experiencing some chest pain when I got
> going a little bit on the tread mill - not too high, 3.2 mph or so - and then
> it diminished when I backed off.
>
> Talked to my cardiologist and we scheduled a nuclear stress test for
> yesterday. The Dr. saw nothing significant on the EKG except for the results
> of old MIs. Got the results today and the nurse said there was a change since
> last time and I should make an appointment with my cardiologist.
> Unfortunately, she is out until next Wed. and the earliest appt. I could get
> is the Wed. after that.
>
> I suspect this is a stable plaque which is building up and I suspect it may be
> in part due to me backing off on the amount of exercise I do for the last few
> months.

How well controlled are **all** your risk factors for progression of
occlusive coronary disease?

> However, I also suspect I am probably headed for another angioplasty.
> (The first in many years.) I know there is some controversy on angioplasty for
> stable plaques but I lean toward it, because the signals the blockage sends
> out could cause me to mistake a real MI for the old blockage and could cause
> me to further cut back on exercise.
>
> Thoughts?

The signals that blockage sends out could also help guide you on how
aggressive you need to be lower your risk factors for CAD progression.

At His service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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