Anyone know of athletes that have had this?
I was having breathing problems for the past year, mostly in warm-up, pool or run. Last week had to cut track workout short as breathing was just too rough. Did an ECG last week and results say ischemia
Still have to see a Cardioligist, but what I read about this doesn’t sound great. I mean, I don’t want to have to give up triathlon.
i would be very careful of exertion until you have your heart more thoroughly assessed (stress echo, probably catheterization). an ekg can give some idea of the location, but not the severity of the lesion(s) in your coronary arteries. take care.
I was having breathing problems for the past year, mostly in warm-up, pool or run. Last week had to cut track workout short as breathing was just too rough. Did an ECG last week and results say ischemia
Still have to see a Cardioligist, but what I read about this doesn’t sound great. I mean, I don’t want to have to give up triathlon.
Did you ever hear the phrase, “Serious as a heart attack.”? An aberrant ECG is one thing. An aberrant ECG with symptoms is an entirely different matter. No exertion until you are cleared. Don’t be macho and think you can work out through this.
Going to see the cardiologist in this case is a “cancel everything you’ve got for tomorrow” kind of issue. Seriously.
Bernie
Actually I hope you are not reading this but shortness of breath with ECG findings of “ischemia” I’m actually surprised you weren’t admitted for further workup immediately. Was this ECG done in your primary care physician’s office?
Please take this very seriously as was mentioned. I see you are in Canada - in the US, this would be ER to cath lab do not pass go, do not collect $200 kind of issue in many cases.
well obviously the history is brief but i think the OP is saying he is breathless during the warm-ups mostly (? resolves during the main workout set) and the correlation with exertion is not entirely clear.
the presence/absence of chest pain/diaphoresis is also unclear. I wouldn’t jump straight to unstable angina straight away.
i would certainly have referred him to A&E, but if the first set of cardiac enzymes were normal i might consider discharging him with nitrates and an early outpatient MIBI.
at this point some variant of exercise induced asthma is still on the table.
good point(s), plus he mentioned the “1 year” duration
However, his ECG findings (dumped T wave or whatever he had) is the worrisome issue.
i agree about the ECG, though i guess we have to give his doc the benefit of the doubt. it may just be some old Q wave. clearly if it’s T wave inversion, ST depression or outright ST elevation he would have been sent to the ED.
i agree about the ECG, though i guess we have to give his doc the benefit of the doubt. it may just be some old Q wave. clearly if it’s T wave inversion, ST depression or outright ST elevation he would have been sent to the ED.
You would be surprised at what primary care physicians do and don’t do in my town. In 20+ years of working in medicine I have seen it all. Lot’s more questions I would ask the original poster before jumping to conclusions however the best advice at this point is to avoid hard physical activity and see a cardiologist asap.
Correct, I have the MIBI scheduled next week. Nurse told me today there has been discussion if this might be a false positive.
I am now experiencing slight breathing issues even at rest, but did swim an easy mile today 
Thanks
Thanks. No chest pain or other issues at all, though I understand that’s not always present in cardiac issues. Someone has mentioned exercise induced asthma. Have to wait till next week.meantime tomorrow, easy gym session, easy 45 minute jog.
Were you on or did anyone mention taking aspirin prophylactically in the mean time?
In addition to imaging, google Dean Ornish a US cardiologist who did quality studies demonstrating reversal of coronary artery disease by diet and lifestyle.
A 2nd on the aspirin, as long as you don’t have any issues with it. One good thought is that if you have been active for years you likely have good collateral circulation. That being said, I agree with the others to avoid any stressing of the heart until you get cleared to do so. Good luck
So, last week I had Nuclear medicine test, with treadmill stress etc. observing Doctor told me that there was clear electrical abnormality. So 2 tests indicate there might be a problem.
Today my own Doctor leaves me a Voice Mail. " Looked at your MIBI results. All clear, no heart issues at all"
Weird, because I have been experiencing tightness in chest. Not pain per se, just tightness and shortness of breath. Very strange.
On the 7th, slated to see a Cardiologist, but I have to call him on the 30th to confirm appointment, do not sure will even get to see him.
So, did 90 minute easy spin yesterday and 2200M easy swim today;-)
So, finally got to see the Cardiologist today. This is a week after my own Doctor called me on the weekend and left me a message saying “Looked at your MIBI scan results, there is nothing wrong with your heart. Bye” So, the next day I did a1:40 spin workout 
2 hours before seeing the Cardio today, I did a 50 minute run with a few strides and one stronger mile. Yikes, I am slow these days.
Anyway, visit with Cardiologist was anticlimactic. It seems that he saw a “fleeting abnormality” in my first ECG, and therefore ordered up the MIBI, where they also saw this “fleeting abnormality” but their conclusion is all is good. Still have to figure out the breathing issues.
Doctor told me that my results on the treadmill tests were way beyond what they expect. Yes!!!
Moral of the story. If you get a diagnosis, don’t get too carried away with the stuff on the Internet. I was already trying to figure out how long a heart transplant would keep me out of training.
Thanks for sharing your experience. I’m a medical student so I’ll be able to relate with ‘us’ as a patient population, but it’s great to hear your perspective. I’m very glad it’s workout out alright.