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First off, let me say that the stress/echo is a good idea. No the anemia won't "skew" the results. Really, what they are looking for is an abnormal rhythm. Since your issue is *probably* caused by anemia, they won't find one--just regular old tachycardia is my guess. By the way, I just had a stress/echo this past Monday (however, I am no longer anemic).

Anyway, back when my anemia stuff first started, I was having the same heart issues as you. But, I will say, at that point I was not anemic yet. I had gone to the doctor for fast heart rate upon exertion (exactly how you describe). One night in particular, I got really scared. I had to take my son to our local ice rink. It was very crowded so I had to park in the lower lot and walk up a short, but steep hill to get up to the rink. OMG!! When I got to the top, I thought I was going to have a heart attack. I couldn't breathe, I was dizzy, sick, and my heart was racing. It took a good 30 minutes to recover and I felt awful the rest of the evening. I knew something was wrong. I went to the doctor and he did the regular tests. I was 'normal' believe it or not. My hemoglobin was a 12. At that time, I knew nothing and didn't even think of iron deficiency, nor did my doctor. So, he sent me to a cardiologist who just performed an echo (no stress test). It was "normal" however I had a rapid heart rate. That was the end of that and they sent me on my way. It was only 6 months later that the anemia showed up on a blood test at my dermatologist (I was having severe itching).

So, even prior to my anemia I was having pretty bad cardiac symptoms (my ferritin was almost non-existent). I can only imagine that with you being anemic they are far worse.

For what it's worth, I would still have the stress test. It will put your mind at ease and it will be fine. The only good thing is that you will probably reach your maximum heart rate faster and not have to stay on as long.

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