Is there a risk to having a Dobutamine stress test

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Submitted by Dr T on June 15, 2011 – 6:48am in Cardiac Risks Question:  Hi Dr T I have hypertension controlled by Diovan and Hctz.  I am also VERY sensitive to epinepherine…causes severe tachycardia.  Should I be concerned about taking a Dobutamine stress test? Thanks for your answer. Exercise stress testing is the most widely used method to test a …

Cardiomyopathy and PVCs

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Submitted by Dr T on June 14, 2011 – 5:51am Question:  Dear sir,I had a heart echo, multiple ecg’s, a stress ecg and an x-ray in January 2009 due to discovering multiple PVCs. I have been told they are benign, but they have not gone away. I am concerned as to whether or not this could lead to cardiomyopathy in …

Improving your cardiac risk factors

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Submitted by Dr T on June 13, 2011 – 7:00am in Cardiac Risks Question:  Hi Dr T, For someone age 42 who underwent all heart check tests (Stress Test ECG, Echo, Blood, …) before 6 months and all results come normal, normally how fast he can develop hear problems like CAD or atherosclerosis. In other words, when he is advised …

Fever and a high heart rate

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Submitted by Dr T on June 12, 2011 – 9:06am in Your heart rhythm Question:  Hi Dr T, My heart rate has been very high (175 bpm) for the past 3 days and it hasn’t stopped. I’ve also had dizziness, and a fever of 106. What could this be? I can’t afford going to the doctor. What should I do? …

The risk of failed coronary artery bypass grafts

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Submitted by Dr T on June 11, 2011 – 10:54am in Cardiac Risks Question:  Hi Dr T, 76 yr old male. undergone CABG for 3 vessel injury in April 2005. From past 1 year, having breathing, perspiration and uneasiness in heart region, after mild exertion.  Like walking for 10 minutes or more and occasional fits of internal burning heat and …

Exercise and recovery PVCs

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Submitted by Dr T on June 11, 2011 – 10:28am Question:  Hi Dr T, I am a 42 y/o male who was diagnosed with harmless PVCs in 2004 after several heart related tests (Stress test, Echo, ECG’s, cholesterol testing…..). Since that time I am doing fine and these funny PVCs goes and come, sometime they do bother me and sometime …

Cardiac clearance for major surgery

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Submitted by Dr T on June 10, 2011 – 1:12pm in Cardiac Risks Question:  Hi Dr T, I am 63, in 1991 had inferior/posterior MI, with EF of 43%. Naturally, my EKG is abnormal. I am presently in need for inguinal hernia repair (under sedation, plus local anesthesia)and the surgeon requests clearance from a cardiologist for the procedure. (I have …

Abnormal heart beats

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Submitted by Dr T on June 9, 2011 – 8:46am in Your heart rhythm Question:  hello Doctor T, My friend told me he has three beats to his heartbeat, we heard it with a stethoscope, the beats are regular, as far as he knows his heartbeat has always been like that, is this normal? we know it is usually two …

Complications of Diabetic ketoacidosis (DKA) and septic shock

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Complications of Diabetic ketoacidosis (DKA) and septic shock Submitted by Dr T on June 9, 2011 – 8:11am Question:  Hi Dr T, A few weeks ago a family member of mine in her late 60’s who is a brittle diabetic was found unconscious at her home, while sitting up with feet colored white and purple.  Blood sugar over 600 but …