Mental Stress Ischemia: Biofeedback Study

Exclusion Criteria

• •Unstable angina, myocardial infarction, decompensated congestive heart failure in past week
• •Severe concomitant medical problems expected to shorten life expectancy to less than 5 years
• •Pregnancy. Women of childbearing age who are not postmenopausal will be screened by pregnancy test
• •Systolic blood pressure \>190 mm Hg or diastolic blood pressure \>115 mm Hg on the day of the test
• •History of current alcohol or substance abuse or dependence (past year); or history of severe psychiatric disorder other than major depression, such as schizophrenia or psychotic depression
• •Weight more than 450 lbs or a body habitus that is unfit for the nuclear camera dimensions
• •Inflammatory diseases - Rheumatoid Arthritis, Lupus, Hepatitis, HIV, Crohn's, etc.
• •Dialysis
• •Any malignancy (No active/any metastasis from oncology notes)
• •Dementia/Alzheimer's
• •Drug incompliance
• •No supporting documents for CAD history
• •Permanent atrial fibrillation
• •Clean vessels after revascularization
• •Any transplants
• •On any immunosuppressants
• •Immobile, in wheel chair (If patient can lift self out of wheel chair then it is okay)