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Doctor insights on: Eds Patients Stress Tests

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Should eds patients not have chemical induced stress tests?

Should eds patients not have chemical induced stress tests?

Not Sure: I don't know of any specific contraindication to Adenosine stress test but you should convey your concerns to the doctor performing or ordering the test. ...Read more

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Dr. Heidi Fowler
3,145 doctors shared insights

Stress (Definition)

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


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How come many patients with clinical eds diagnoses do not test positive yet have vascular issues?

How come many patients with clinical eds diagnoses do not test positive yet have vascular issues?

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 more

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Which skeletal diagnostic tests are performed to diagnose Marfan syndrome?

Which skeletal diagnostic tests are performed to diagnose Marfan syndrome?

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 more

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Nuclear stress test for type b WPW syndrome?

Nuclear stress test for type b WPW syndrome?

Not helpful: A nuclear stress test will provide information regarding the health of your coronary arteries which have nothing to do with wpw. If a stress test is indicated, it's independent of wpw. If WPW is the issue, a stress test will provide no useful information. ...Read more

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Causes of elevated CRP (18.4) and C4 comlement (46)? History: ana, ccp positive. Sjogren's symptoms but ssa/b neg. No arthritis. Fatigued.?

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

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How effective are exercise stress tests at diagnosing heart disease?

How effective are exercise stress tests at diagnosing heart disease?

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

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What diagnostic tests are utilized to monitor patients with diabetes mellitus?

What diagnostic tests are utilized to monitor patients with diabetes mellitus?

Aic Hemoglobin,sugar: Following tests 1blood sugar 2a1c hemoglobin 3lipid levels including ldl, hdl, triglycerides 4bp check 5kidney functions 6ekg. ...Read more

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Why do some with clinical eds diagnoses test negative for veds, but have vascular events?

Why do some with clinical eds diagnoses test negative for veds, but have vascular events?

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 more

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Do some eds patients suffer with sleep problems?

Do some eds patients suffer with sleep problems?

EDS: Can you specify what eds stands for? Some abbreviations mean different things to different people. ...Read more

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Do 10-25% of those with classical eds who tested negative for vascular eds have vascular issues?

Do 10-25% of those with classical eds who tested negative for vascular eds have vascular issues?

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 more

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Do lupus patients experience torn tendons more easily than non lupus patients?

Do lupus patients experience torn tendons more easily than non lupus patients?

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

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With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?

With repeated ECG, holter monitors, ECHO, cardiac MRI and stress tests would long QT syndrome be obvious to diagnose?

Ecg finding: long qt is an ECG finding, would see it on an ECG, or holter; sometimes situational such as exercise, and a treadmill ecg would pick it up. i don't know of any particular echo or MRI findings per se. ...Read more

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Wondering about vagoglossopharangeal neuralgia? Do patients ever report symptoms v similar to stable angina/heart conditions but neg cardiac work-ups and clear arteries?

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 more

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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?

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 more

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Triple coronary artery disease, diabetes type 2, sleep apnea, rhuematoid arthritis, psoriasis, extreme fatigue and alot of stress. Need relief!!

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 more

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I'm 41yr female, no cardio risk factures, passed stress test, but echocardiogram showed mild sclerotic valve disease. Need insight.

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

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Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?

Chronic chest pain. Card thinks pericarditis since SLE patient. She has ordered nuclear stress test. Can that show evidence of pericarditis?

No: Pericarditis can be diagnosed based on history, physical exam and EKG or echocardiogram. I believe your cardiologist is ordering the nuclear stress test to rule out cardiac ischemia as the source of your chest pain. ...Read more