?? on Stress Echo

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Karlynn

I've posted a question before on how many "valvers" have cardiologists that do annual stress echos. The response I got was small, most had them before surgery, but I didn't get any for after surgery, if I remember correctly.

I'm repeating this again because I called my card to schedule an echo for this year. I had my check up in August and procrastinated calling because I knew she was going to say she wanted a stress echo. Well, I've been having some more PVC's than normal this past month and a half, so it spurred me to finally bite the bullet and call to schedule an echo and an appointment to talk to her about the PVC's.

The receptionist said she'd schedule me for an echo but that she was sure when the cardiologist saw that it was just an echo, she would want to change it to a stress echo. I had one last year that came out fine (I gave in and said okay to the stress echo then). I'm not sure why she's insisting on annual stress echos. Does anyone know what the indications are for performing the stress echos? (I'm not experiencing the additional PVC's after or during physical exercise - if anything the rhythm is better then.)

I'll admit that the biggest reason I'm baulking at this is because it was a miserable experience. They have you walk your heart rate up and then make you lie down right away and you feel like your heart is going to either stop or beat right out of your chest. The wisdom of this eludes me. Any doctor will tell you the worst thing to do is to sit right down after physical exercise, that you should walk around and come down slowly. So what does this test make you do - lay right down.

I've had this cardiologist for 5 years. I went with a recommendation from my long-time cardiologist who was retiring and who I had great faith in. I've liked the fact that this cardiologist is always available. She doesn't overbook her appointments. She takes the time to talk to me during the appointments. I've always felt comfortable with her. But this stress echo thing bugs me. I don't understand why she's making this her protocol. She did go out on her own 2 years ago - is a stress echo that much more revenue generating than an echo?

And thus ends this novel -
Karlynn
 
Hi Karlynn,

Since your cardiologist seems accesible, you might want to ask about the stress echo.

Not sure about the revenue part, but I've never had a stress echo - only regular echos to date.
 
stress echo

stress echo

I had an echo and a stress every year for the last 15 years prior to surgery. Their explanation was that they could see how the heart was working versus me telling them how I felt. The last echo I had showed that the valve had narrowed more and there was some more enlargement. I then had a TEE and an angiogram prior to surgery. My Dr. still didn't think that it was the valve that was causing all the fatigue. He thought that I was deconditioned and just getting over the holiday stress. Wanted me to wait 6 mos before having surgery and kind of let it my choice. We wanted to go ahead and not wait. We made the right decision. The Surgeon didn't not even mention waiting. Hope all goes okay for you.
 
Hey Karlynn,
I am having one on Thursday. This is to see if they are going to release me to go back to work or not. I was told before my surgery that I would have an annual echo done but nothing was said about the stress echo. I am going to ask about that on Thursday also.
Take Care

Dave
________________________________
Surgery: 4/21/03
Aortic Aneurysm Repair
AVR, with a St. Jude Mechanical
 
hi karlynn!
i'm so sorry you have to go through this....
joey has echos twice a year. he has never had a stress echo and has had stress tests if/when things seem "off" to his cardio.

i think melissa is right, why not ask your cardio why she wants to do this. would she consider doing an echo and a separate stress test? i imagine she wants to confirm that the pvc's are not exercise induced?

please let us know what happens. when will you be seeing her?

we are all thinking of you. be well, sylvia
 
stress test

stress test

Two things cross my mind. !. is that a stress test is much less costly then an echo. 2. is you need to ask you Dr, why is it nessisarry for a annual stress test ? Just ask she will explain she sounds very compitent.
 
Stress-echo

Stress-echo

Hubby had one a few weeks ago. He said he kept going until he was really tired. Then laid down. No heavy beating of heart, ect..but they went on and did a cat of heart..Showed his heart was only beating 35%..No cure to reverse it.. but has to give up his pipe smoking and drinking alcohol...and take an ace-inhitber sp? to keep heart from getting worse. He has no symptoms ..Works more than a young man..age 73 this month. No blockage of arteries, ect.. Glad we found out..:) :) Was tired of that pipe after 37 years of marriage :p :p Bonnie
 
I've never had a stress echo, just regular ones. I guess the best thing to do is ask your cardio the reasoning behind it.
Good luck!

Heather
 
I've only had regular echo's, before and after my surgery as a part of my regular check up's.HFK
 
The efficiency of how valves function may change with exercise. A valve may seem fine but when put under pressure a different picture emerges. It is just a more complete evaluation.
 
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