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Does NSVT necessitate a Cardiac Cath?
I agree with you, there is no real indication he needs a cath! If necessary because of other risks of heart disease, a very reliable and much simpler test is CTCA. While NSVT may indicate heart disease, the stress echo and Holter monitor have excluded this. His symptoms are much more suggestive of orthostatic hypotension, usually benign and easily avoided by not squatting! However, I am a little concerned about the bradycardia, because the heart rate's normal response to orthostatic hypotensionis to speed up. Is his heart rate always that slow?
Hope this helps,
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