Doctor insights on:
Eds Patients Stress Tests
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
What type of doctors perform pulmonary function tests/exercise stress test/cardio-pulmonary stress tests?
Cardiologist: Cardiologist and pulmonary specialist.Get a more detailed answer ›
No simple test: Eds in one form (vascular eds) can cause weakness of the blood vessels. If the vessel ruptures seriousl consequences can occur. Eds causes a weakness or loss of elasticity which can lead to stretching, ballooning out and eventual rupture. Probably easiest way to diagnose is with ultrasound or ct with contrast. ...Read moreSee 1 more doctor answer
Several features: Features suggestive of marfan syndrome include: above-average height, long arms, long fingers, flat feet, high-arched palate, narrow face, crowded teeth, small lower jaw, pectus carinatum (pigeon chest), pectus excavatum (sunken chest), hunchback (hunchback), scoliosis (crooked back), hypermobile/hyperflexible joints, etc... ...Read moreSee 1 more doctor answer
Causes of elevated CRP (18.4) and C4 comlement (46)? History: ana, ccp positive. Sjogren's symptoms but ssa/b neg. No arthritis. Fatigued.?
You have inflammatio: Your tests indicate inflammation. Sjogren's not associated with high inflammation. Ccp positivity fairly specific for ra. Chronic fatigue is common in both RA and sjogrens. And sjogren's (2') common in ra! responds well to Nuvigil or provigil! have you seen a rheumatology specialist to sort things out? ...Read more
85 - 90 %: If the stress test is combined with nuclear imaging, the sensitivity for picking up on coronary artery disease is 85-90%. If the stress test is done without imaging, the sensitivity is less. In interpreting stress test results, it is important to note the "pretest likelihood of disease". In a young healthy patient, a positive result is likely to be a false positive. ...Read more
Older testing: If a comprehensive evaluation is done the people with vascular risk can be determined. The incidence of vascular complications reflects available testing about 15 years ago. With improved testing techniques unanticipated vascular complications are rare without additional risk factors to include smoking. ...Read moreSee 1 more doctor answer
Depends: Would not focus so much on percentages, but instead would present your symptoms to your rheumatologist. Would try to seek out eds centers who understand the condition more than most and have seen a larger volume of eds patients (usually at university hospitals). ...Read moreSee 1 more doctor answer
Do rheumatologists commonly see undiff connective tissue disease patients with lots of ctd symptoms but normal labs (other than high ana)?
Not normally: Tendinitis is more common but torn tendons are not a typical feature of the disease. They can sometimes occur after injections, with steroid therapy, or with certain other medications. Sle can also cause almost anything even though this would be unusual. ...Read more
With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?
Wondering about vagoglossopharangeal neuralgia? Do patients ever report symptoms v similar to stable angina/heart conditions but neg cardiac work-ups and clear arteries?
GPN: Glossopharyngeal neuralgia (gpn) is also called vagoglossopharyngeal neuralgia. It is characterized by brief but intense pain on one side of the throat, which may radiate within the mouth or into the ear. Attacks are described as sharp, stabbing or burning in quality. They may occur spontaneously or be provoked by talking, chewing, swallowing, coughing and yawning. It can mimick angina pain. ...Read moreSee 1 more doctor answer
Crp-hs cardiac 8, Sed rate esr 88 neutrophils 10.7, homocysteine19, rf<10. Chf developed recently, Fever at night, fatigue, breathing issues. Can this be lupus or rheumatoid heart issue? do i need additional tests to determine inflammation of heart?
Inflamatory Markers: of ? immune system/WBC activity but not cause. Careful: "inflammation" = marketing with little help from meaning. Yes, could be Lupus & hs-CRP of no help in this setting. Primary drivers of CHF are ? blood supply due to coronary atherosclerosis, ?ed glucose & ?ed BP. Best optimize CADs drivers: NMR-lipoproteins (LDL 9 ?mol/L), HbA1c ?5.0% & SBP ...Read moreSee 1 more doctor answer
Triple coronary artery disease, diabetes type 2, sleep apnea, rhuematoid arthritis, psoriasis, extreme fatigue and alot of stress. Need relief!!
Coordination of Care: You need your Primary Care Provider to coordinate all of your medical care, including ordering necessary laboratory, x-ray, and other diagnostic tests, arranging for hospital admissions, and working with specialists when medically necessary. In your case rheumatologist, endocrinologist, pulmonologist, orofacial pain management and pain psychologist. Good luck. ...Read moreSee 2 more doctor answers
I'm 41yr female, no cardio risk factures, passed stress test, but echocardiogram showed mild sclerotic valve disease. Need insight.
Echocardiogram: Mild sclerotic valve abnormalities read on echo suggest beginning degenerative changes in a/the valve(s). Sometimes we overread these findings and often they are not a big deal. It is worth discussing with your doctor to get his/her viewpoint on the report. Keeping your risk factors controlled is the best you can do if the abnormalities are true. ...Read more
Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?
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