Not the best update but progress
I'm back with some news. This is most likely outside the PM world now but I thought I would still post it. For months I've been telling my doctors I need an exercise test. All of the tests they provided were at rest and my issues always seem to worsen with activity. Anyhow I was scheduled 3/19/2020 for a Cardiopulmonary Exercise Test but it's was delayed due to COVID. I was finally able to take it 6/3 and just as I suspected it revealed some issues. Allow me to explain.
Basically there are a few problems happening. First is faster than expected increase in HR with exercise. Second is failure of blood pressure to augment to predicted maximal values. Mine after exercise was 147/91 and normal is <220/90. Third is O2 pulse does not increase appropriately. Lastly it stated an abnormal heart rate reserve. It ended by saying that the early achievement of the anaerobic threshold suggest significant cardiovascular abnormality.
They recommended more tests. First will be a Peripheral Vascular Disease workup and the second is a Transesophageal Echocardiography With Stress. I realize this is might be outside the scope of this site, but if anyone has any thoughts I'm all ears. The only good thing is the EKG did not suggest any patterns of ischemia and the baseline rhythm throughout the entire test was sinus rhythm.
Anyhow that's the latest... I've been telling the docs that I needed something with exercise and now I am finally getting somewhere. Hope everyone is safe, healthy and happy. God bless!