Medical Specialty >> Cardiology

Doctors Lounge - Cardiology Answers

Back to Cardiology Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. 

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 10/20/2017.

Forum Name: Ischemic Heart Disease

Question: Opinion about Job clearance scenario!!!

 tsr92571 - Tue Feb 12, 2008 9:55 pm

I am 36 Y/O male 6'1 260lbs. firefighter. I was recently flagged on a yearly physical regarding EKG results after stress test on stationary bike.

I was shown greater than 3mm ST Depression in lead V3 with T wave inversion. When I was 21-23? I have had these same results, and I was tested by stress test, holter monitor, blood work, etc. I was told I had a healthy heart by cardiologist and electro physiologist.

I was referred to a new cardiologist from this physical, because my previous cardiologist has retired, and I haven't seen him in 15 years.

I had an Echo which I was told was normal and Nuclear stress test done.The stress test showed this depression throughout the test, and I have been asysmptomatic the whole time.I was told I had normal blood flow, no known blockages, but my efficiency was slightly decreased and I have the abnormal EKG.

I can't return to work without my physician signing a clearance letter. He stated, " If I had a regular like office job it would be no problem to return to work, but he wants to do a cardiac cath to ultimately rule out anything."

I don't really want to do the cath because I'm asymptomatic and its invasiveness.
My question is: Would it be wrong to seek a second opinion? Is there any other less invasive procedures to help with ruling out for ultimate assurance?


 Dr. Chan Lowe - Wed Feb 20, 2008 1:19 am

User avatar Hello Tsr92571,

It is always reasonable to seek a second opinion. Many people feel this means they don't trust their doctor or their doctor will be offended. Most physicians are not at all offended by a second opinion. In fact, many welcome the chance to have another doctor look over everything to see if there are any other ideas.

It sounds like you've had quite an extensive work up so I can't come up with an alternative to a cardiac catheterization other than possibly a cardiac MRI (which may not be available in all places). I understand your doctor's concern as well as yours so I think obtaining a second opinion is very reasonable.

Best wishes.

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us