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Can she go for dobutamine stress test
My mother is a cancer patient, also had bp, diabetes thyroid, and she is on Aspirin n Atorvastatin since Dec 2019 She is up for surgery, but needs cardiologist clearance first for that she undergone to TMT but couldn't complete it due to low physical activity/fitness. Now oncologist said to go for dobutamine stress test, just wanted to know if it is safe, And she is taking telma 40mg BD, amlodipine 5mg OD for BP, and for diabetes she is taking vildagliptin 50mg BD, metformin 500mg BD, glimiperide 2mg BD so before the test she can take sugar medicine but can she take BP medicine as well. I am in a doubt because while processing the test her bp will get high then it will be double dose for her, if she takes telma at home around 6am and test will be at 10am then again they will give her BP medicine What is the correct procedure to take BP medicine before n after test..plzz suggest
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Make vilda od when given with glimipiride Give fdc for telma + amlo Ecosprin av ( instead of eco + atorvas) Fdc for (glimi with metf 500) This would decrease pill burden on pt. What is hba1c? This is in addition to other opinions
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DSE ( Dobutamine stress Echo ) is essential part of cardiac clearance for any surgery. Don't worry about the procedure. They inject a drug through IV which increases heart rate. They want to be sure that the heart is alright to take proper drugs/ anesthesia during the surgery. It temporarily increases the heart rate so don't think that her BP will continue to stay high and you may need to amp up the medications. Wherever you plan to get DSE for her, talk to the cardiologist there and they will help you with the medications. Don't worry. All the very best.
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Her further investigations is based on baseline ECG ..Get it done 1st
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.