Hello doctor, For many years now, I have sporadic pressure in my chest area, and since I never want to presume it is not heart-related. I usually get it checked out. I do have anxiety and fibromyalgia, so the most likely cause is stress and muscle strain. My last episode was about two weeks ago and after consulting a cardiologist, who suspected it to be muscle-related, I had a stress echo two days ago to make sure. I am attaching a copy of the report as well as the copy of my last stress test. The current cardiologist told me that the report looks great with a strong heart muscle and no ischemia. Since I tend to over analyze things, I read the report and it mentions a Duke Treadmill score of 2.5 due to ST depression of 1 mm. I have been told that I have a baseline ST depression forever, and it was present back in my last stress test. I asked the cardiologists about it via a message on my portal and the response was that it is nothing to worry about, and it is not diagnostic. Would you agree that there is nothing worrisome?
Hello. I have seen your reports. (attachment removed to protect patient identity). I studied through your test results there is absolutely nothing that indicates any serious abnormality. The slight change recorded is not of much significance. From my experience as a physician I frequently see slight variations in test results that are not indicative of any abnormality. Has there been a change in the way you feel if recent? Did you had any medication in regards to this? Do you have a family history of heart disease? Do you have diabetes or high blood pressure? Any history of stomach ulcer? Do you smoke or drink?