fwafwow
WKR
- Joined
- Apr 8, 2018
- Messages
- 5,554
You are wasting your breath (and time). He got the hammer.Stress testing of various professionals is mandated by various governing bodies because people lie to keep working. There is also local variability (the State I was a firefighter in did not require stress tests). It should not be confused with good preventative medicine.
You are correct that I'm not a cardiologist, though I did not call myself one.
As for preventative medicine, what information does a stress test in an asymptomatic and low risk patient give us that helps?
A stress test is a physiologic test of perfusion, it does not identify none perfusion limiting lesions (so certainly cannot be considered primary prevention), nor can it differentiate the cause of the lesion. The tests themselves are pretty low risk (about 1:10,000 will lead to hospitalization), but a false positive will likely lead to a left heart cath, which is higher risk.
Anyway, if you can provide data (not what cardiologists have done for your friends, I can go talk to one of the interventionalist I work with and get their input at any time), I will reconsider.