Heart :: Stress Test - ST Depression Was -2.2


Feb 9, 2016

I'm a 43yr old male with no history of heart disease, though I do have low HDL cholesterol and mild hypertension (130's/90's) and am on half a Benicar 20mg pill daily. I lost 100lbs 5 years ago and have kept it off with regular exercise (I run 5-7 days per week) and heavy weight lifting (2-3 days/week), plus a much better diet than I ever had while in my obese days. I'm still overweight at 210lbs, 6'2", but in a much better place, I think, and continue to drop a pound every month or so!

Recently, due to a chronic issue with abdominal discomfort that sometimes migrates into my chest, I had a treadmill stress test and echo at the local county hospital and would like to know if I should ask more questions about the results of the stress test (echo still pending).

An echo was performed before the treadmill portion and then ASAP after I hopped off the treadmill (within 10-15 seconds at most). I had zero trouble with the treadmill test, reaching my heart rate goals after about 18 minutes of continuous increases in speed and incline. No discomfort, dizziness, etc. and blood pressure didn't do anything weird, nor did there appear to be any arrhythmia.

The result published by the attending doctor (my regular GP) are as follows:

"... initial EKG was a sinus rhythm ... maximal ST depression was -2.2. However, he was asymptomatic and the depression was in one lead only. This is an electrically and symptomatic negative exercise stress test ..."

I've read that this amount of ST depression is significant, but is it true that a single-lead depression is a negative result? Should I at least inquire about which lead was negative? The tech did have some trouble getting one of my leads to read at first, but seemed to get that worked out before I hopped on the treadmill - I should've asked which lead that was; located on left side rib cage under arm.

I have digestive issues that often present with chest discomfort, fullness, jaw or esophagus tightness, etc. and that leads to anxiety, as you might imagine. Perhaps I'm being overly anxious about this, too...just want anyone with experience or knowledge of these tests to weigh in on whether I should probably just let it go or follow up once the echo comes back in a few more days.

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