Tumors on each of the kidneys. Advised for a stress test. Suggestion?
Patient: I am suppose to have surgery but doctor wont clear me unless I have a stress test, he said i have 2 tumors each one on the kidnesy I am afraid, had cat scan done, he wrote I have  reviewed with patients results and rec renal u/s to eval lesion. d/w patient rec pelvic Angina of effort (413.9) multiple risk factors including dm, lipids, htn and change in pattern where she now had with stress Doctor: in case of a high risk surgery due to presence of cardiac risk factors, surgeons and anaesthetists need a clearance or approval from physicians or cardiologists before doing surgery.same is a case with you.you can consult a cardiologist as advised and if a stress test is required, a dobutamine stress test can be performed using infusion of a drug named dobutaine to increase heart rate. in this test you don't have to walk on a treadmill.alternatively your cardiologist can examine you and have a woed with the surgeon or anaesthetist.of course you will have to sign a high risk consent showing that you understand the risk posed by cardiac disease or risk factors if present.