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Reaction during, and aftermath of a Dobutamine Stress Test
I had a Dobutamine Stress Test 3.5 wks ago. I was told to take my medications the morning of the test (Altace, Welbutrin, Zantac, and Clariten-D, Oxycontin). I have asthma.
The report states, "The maximum heart rate attained was 147 beats per minute with a maximum blood pressure of 121/60." I was then given two mg of Inderal at which time I started to feel an enormous pain and extreme pressure in the center of my chest traveling down the right side of my chest. It was so acute that tears flowed out of my eyes for 20 mins without a sound.
The report states,
The report states, "The maximum heart rate attained was 147 beats per minute with a maximum blood pressure of 121/60." I was then given two mg of Inderal at which time I started to feel an enormous pain and extreme pressure in the center of my chest traveling down the right side of my chest. It was so acute that tears flowed out of my eyes for 20 mins without a sound.
The report states,
A related discussion, why chest pain when dobutamine echo shows nothing was started.
A related discussion, Has anyone else had a nightmare Heart Infusion test? was started.
LVOT: Left Ventricular Outflow Tract.
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Thank you very much for giving me a logical answer, and no I do not use cocaine. As far as retaking Inderal, I think I can skip knowing if it would cause a repeat of what I have been through.
The nightmare I referred to is that I am 3 months post-op a lower back fusion surgery, and I had recovered enough to walk 2 miles a day. I felt like I was on my way to a new life. Since the new pains have continued ever since the test, thankfully not as severe as the first 2 weeks, I have been unable to return to my walking. Mainly out of concern that it would retrigger the severe pains. This past few days it has even affected my cough varient asthma which has been under control for years. Walking is considered to be an essential part of my recovery and helps the bone growth of the fusion.
Can someone please tell me what "LVOT" stands for, and what "LVOT gradient of approximately 20mmHg" means? I can not find a definition in the medical dictionaries or web sites I have checked.
Something you said in your reply has given me a plan. My plan is to treat the effects at this point as anxiety, and ask the doctors to prescribe some Ativan. Any symptoms from that point on we will just have to deal with on an individual basis, because I am going back to my walking, slowly of course, and to my new life.
Thanks again,
The nightmare I referred to is that I am 3 months post-op a lower back fusion surgery, and I had recovered enough to walk 2 miles a day. I felt like I was on my way to a new life. Since the new pains have continued ever since the test, thankfully not as severe as the first 2 weeks, I have been unable to return to my walking. Mainly out of concern that it would retrigger the severe pains. This past few days it has even affected my cough varient asthma which has been under control for years. Walking is considered to be an essential part of my recovery and helps the bone growth of the fusion.
Can someone please tell me what "LVOT" stands for, and what "LVOT gradient of approximately 20mmHg" means? I can not find a definition in the medical dictionaries or web sites I have checked.
Something you said in your reply has given me a plan. My plan is to treat the effects at this point as anxiety, and ask the doctors to prescribe some Ativan. Any symptoms from that point on we will just have to deal with on an individual basis, because I am going back to my walking, slowly of course, and to my new life.
Thanks again,
OneWabbit,
What a bizarre story. The only thing possible reaction that could possibly tie this together is persistent bronchospasm (the cause of asthma) from the inderal. Unless the pains are severe, I would try to not let anxiety create a "nightmare" from this reaction. The good news is that your heart is fine.
Inderal (propranolol) is a very frequently given medication. I have never heard of such a reaction. One way to verify or refute that propranolol caused the pain would be to receive the medication again in a monitored setting with your cardiologist. At least then you would know if the pain was just coincidental or really caused by the medication. It sounds from what you've said that you have not suffered permanent bodily harm from the pain, which would make repeat administration of the inderal safe. Alternatively, you could see your internist for a methacholine bronchospasm challenge to see if you are in the midst of an asthma flair.
One last possibility is that you suffer from coronary spasms, but I have never heard of these being produced by inderal. The cardiologist should have seen spasm during the cath, however.
One last thought, cocaine users can have paradoxical reactions to inderal. I'm assuming that you have not used cocaine.
Hope that helps and good luck.
What a bizarre story. The only thing possible reaction that could possibly tie this together is persistent bronchospasm (the cause of asthma) from the inderal. Unless the pains are severe, I would try to not let anxiety create a "nightmare" from this reaction. The good news is that your heart is fine.
Inderal (propranolol) is a very frequently given medication. I have never heard of such a reaction. One way to verify or refute that propranolol caused the pain would be to receive the medication again in a monitored setting with your cardiologist. At least then you would know if the pain was just coincidental or really caused by the medication. It sounds from what you've said that you have not suffered permanent bodily harm from the pain, which would make repeat administration of the inderal safe. Alternatively, you could see your internist for a methacholine bronchospasm challenge to see if you are in the midst of an asthma flair.
One last possibility is that you suffer from coronary spasms, but I have never heard of these being produced by inderal. The cardiologist should have seen spasm during the cath, however.
One last thought, cocaine users can have paradoxical reactions to inderal. I'm assuming that you have not used cocaine.
Hope that helps and good luck.
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