- Male
- 27 Years
- 07/02/2025
Hey, a couple of years ago I had a CT coronary angio, but I had a panic attack because of the contrast media, and my heart rate shot up to 120. The staff didn't wait for it to settle and went ahead with the scan. They said my arteries were disease-free and mentioned something about a right circulation and a small caliber artery. How did they even get accurate images with my heart rate that high? Did they just fool me? Also, they originally told me I'd need another CT angio in 10 years. Do you think I need to do a repeat scan now? I'm just really confused about what I should do next.
Answered by 1 Apollo Doctors
It is possible to obtain accurate images during a CT coronary angiography even if your heart rate increases due to a panic attack triggered by the contrast media. The imaging technology is designed to capture clear images even with some movement. However, if you have concerns about the accuracy of the results or if you are due for a repeat CT angio according to your previous medical plan, it would be advisable to consult with your healthcare provider. They can review your previous scan, assess your current health status, and determine if a repeat CT angio is necessary at this time.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Repeat Scan Consideration:
- If advised to repeat in 10 years and no new symptoms or risk factors have emerged, it's generally safe to wait.
- Consult your doctor if you experience new symptoms like chest pain or shortness of breath.
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Image Accuracy with Elevated Heart Rate:
- A heart rate of 120 can reduce image clarity due to motion blur.
- Modern CT scanners often compensate for this, but discuss with your doctor if concerned.
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Contrast Media Reaction:
- Inform your healthcare provider about your past reaction to contrast media.
- They can explore alternative imaging methods or premedication options to prevent future panic attacks.
Key Points:
- Elevated heart rate may affect image clarity but can still yield useful information.
- Follow your doctor's advice on scan timing unless new symptoms occur.
- Discuss past contrast reactions with your healthcare team for safer imaging options.
Recommended next steps
Consult a Cardiologist or Consult a Radiologist
Answered 20/08/2025
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I've noticed that my resting heart rate usually falls between 53 and 60, and my blood pressure seems fine. I don't experience shortness of breath, weakness, or any faintness. I don't get tired during physical activities, either. Over the past couple of years, I've had ECG, TMT, and Echo tests done; they didn't show anything concerning. The only thing that came up was a grade I diastolic dysfunction on the Echo test, but my doctor said that was normal. I play cricket almost every weekend without any issues. Is having a heart rate between 53-60 something I should worry about? Do you think I should get it checked out or need any treatment?
Your resting heart rate of 53 to 60 beats per minute is considered to be on the lower side but can be normal for some individuals, especially those who are physically active like yourself. Since you do not experience any symptoms like shortness of breath, weakness, fainting, or exhaustion during physical activity, and your ECG, TMT, and Echo tests have not shown any significant abnormalities, there may not be a cause for concern. However, if you are still worried about your low heart rate, you can consult with your doctor to rule out any underlying issues. In the meantime, continue to stay active and monitor your heart rate during physical activities. If further evaluation is needed, your doctor may recommend additional tests or monitoring.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.