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A member asked:
I am on 24/7 oxygen because i have advanced copd and i also wear a 24 hour nitroglycerine patch for chest pain every day. i would like to know if i have chest pain and difficulty breathing if i should go ahead and take a adenosine nuclear stress test?
3 doctors weighed in across 2 answers
An adenosine stress test with out without nuclear scanning wouldn't be performed in the presence of unstable cardiac status. This is a decision only your cardiologist should render after assessing your symptoms &. condition. Often in these types of situations, after the patient is considered stable, we go straight to CT fractional flow testing or actual coronary catheterization with angiography
Answered 8/28/2022
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In general wheezing and bronchospasm that are common in advanced COPD are considered contraindications for adenosine. Your cardiologist remains your best resource in selecting the best test in further elucidating the cause for your persistent chest pain.
Answered 9/1/2022
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