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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Supraventricular Tachycardia. Stress Test Positive For Possible Clogged Artery. Suggest

Do I really need an angiogram if all tests were ok? I had blood work, chest xray, an EKG, echo cardiogram, and I have supraventricular tachycardia. I had an angiogram ten years ago due to a stress test that showed positive for a possible clogged artery. I did not have any symptoms, nor do I have any now! I am a 62 year old male, still without any symptoms, yet the same cartiolgist said that I need an angiogram due to results of a two week old stress test with no symptoms. By the way, the angiogram of ten years ago showed all arteries in good shape.
posted on Fri, 26 Apr 2013
Twitter Fri, 26 Apr 2013 Answered on
Twitter Fri, 26 Apr 2013 Last reviewed on
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Cardiologist,  's  Response
Dear Sir
Thanks for writing to us.
If your previous stress test was positive but angiogram was negative and now again you have stress test positive , so you do not want to get angiogram. this makes sense if you were asymptomatic during the stress and had good exercise capacity. This is especially so if the stress test was TMT only. if it was TMT only then i would suggest you to undergo stress ECHO or stress Thallium to clarify the issue. if your stress test was already an imaging based test like Stress ECHO or thallium, then it is an issue. it could be solved only after having a look on the images or videos only.
i hope i cleared the concept for you.
sincerely
sukhvinder singh
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Have Supraventricular Tachycardia. Stress Test Positive For Possible Clogged Artery. Suggest

Dear Sir Thanks for writing to us. If your previous stress test was positive but angiogram was negative and now again you have stress test positive , so you do not want to get angiogram. this makes sense if you were asymptomatic during the stress and had good exercise capacity. This is especially so if the stress test was TMT only. if it was TMT only then i would suggest you to undergo stress ECHO or stress Thallium to clarify the issue. if your stress test was already an imaging based test like Stress ECHO or thallium, then it is an issue. it could be solved only after having a look on the images or videos only. i hope i cleared the concept for you. sincerely sukhvinder singh