I'm wondering if it's really necessary to get my heart rate up by walking on a treadmill for a stress echocardiogram. When I was lying down for the test, my heart rate was already high at around 130-140 because of anxiety and stuff. The doctor mentioned that since my heart rate is already up, they wouldnt make me do the treadmill, and the stress echo would still be completed. I was told that it doesnt matter if the heart is beating faster due to stress or exercise; all they need are the images. I paid 3.5k for the stress test but ended up with just an echo report, which usually costs 1.5k. I've been having typical chest pain and in the report, they noted sinus tachycardia during the study. What should I do?
In your case, since your heart rate was already elevated due to anxiety and other factors during the stress echocardiogram, it was not necessary to further increase your heart rate through walking on a treadmill. The main goal of the test is to assess the heart's function and structure under stress, whether it is due to mental stress or physical exertion. The doctor's focus is on obtaining clear images rather than solely on increasing the heart rate. Regarding your chest pain and the presence of sinus tachycardia noted in the echo report, it is important to follow up with your doctor for a comprehensive evaluation. Based on your symptoms and the findings in the report, your doctor may prescribe medications such as beta-blockers like Metoprolol to help control your heart rate and chest pain. Additionally, further investigations or treatments may be recommended based on the overall assessment of your cardiac health.