Question 1

normal echocardiogram, normal ekg, normal cholesterol levels, calcium cardiac ct ( no contrast) showed no calcium deposits, normal coratid artery ultrasound. what are chances of my having blocked arteries ( cad)?

Accepted Answer

: You are doing well, very little chance for CAD with these results, please continue with good diet and regular exercise and absolutely no tobacco. I wonder why you had these tests done but no exercise stress test if these expensive work-up was done for questionable CAD.

Question 2

can an electrocardiogram detect blocked coronary arteries?

Accepted Answer

Indirectly/Maybe: An electrocardiogram is a recording of a series of heartbeats in a moment in time.  Depending on the severity of the blockage, the symptoms being experienced at the time, whether this was an ekg during exercise or stress or symptoms would all come into play as to the ability of the test to detect blockage.  Not the best test but of use in the overall evaluation of cad.  Get a complete evaluation.

Question 3

just took an ecg yesterday results came normal. should i still worry about a stroke? also will a blood test tell me if i have a damaged nerve or artery

Accepted Answer

Why are you worried?: An ECG will not tell you about the blood vessels in your brain.  A blood test cannot tell you if you have a damaged nerve or artery.  Why are you worried? These are some of the things that can raise your risk of stroke or heart attack: smoking, high blood pressure, obesity, lack of exercise, high blood fat (cholesterol, triglycerides), diabetes, family history, poor diet. Search HT for advice.

Question 4

can you tell me how precise is a nuclear stress ecg at detecting narrowing of the coronary arteries?

Accepted Answer

Nuclear stress test: I assume you are referring to a nuclear myocardial perfusion stress test where images are acquired and not an EKG treadmill stress without imaging.  Patients with normal stress myocardial perfusion SPECT studies have a &lt;1% rate of having a future cardiac event (death or acute myocardial infarction) .

Question 5

what would be the most accurate but not very invasive way to determine blocked arteries other than an angiogram. a ecg result uploaded when i suffered from a panic attack. and my gp is not happy about the ecg?

Accepted Answer

Stress echocardiogra: Stress ecocardiography can help you find out if you have a high risk of having blocked arteries. If you have an abnormal ECG, please go to a cardiologist. He will know what is the next step (probably angiography won't be the first one).

Question 6

high cholesterol,lots of pvcs,chest pressure and short of breath. i'm worried i have blocked arteries but dr will only get ecg insisting i'm to young?

Accepted Answer

See a cardiologist : See a cardiology sub specialist in an academic center who may be more in tune with cardiac presentation in women and get you the correct treatment; or reassurance after appropriate testing done. If you reside in Northern Calif go to Stanford's women's heart center. If u love in Southern California go to Cedars Sinai women's heart center.

Question 7

i had an ekg and ecg 2 years ago all normal, would this have detected any blockages in my arteries? i am 32 years old

Accepted Answer

ECG: the ECG doesn't detect coronary artery lesions that aren't causing a problem. If you are concerned about your arteries work with your doc, eat a Mediterranean diet, get regular aerobic exercise, don't smoke and stay on the program.

Question 8

is a ekg effective for telling if you have cornary artery disease ?

Accepted Answer

No: AN EKG is good in the acute setting to diagnose an acute heart attack however a normal EKG does not rule out the presence of coronary artery disease

Question 9

how often do nuclear stress tests miss clogged arteries? had a month ago that was normal but an ekg yesterday said acute mi. cardio said ignore it.

Accepted Answer

Stress test: A stress test will yield evidence of physiologic ischaemia, this can be present without obstructive coronary disease though coronary obstruction is by far the commonest cause; coronary artery disease  is frequently present with a "normal" stress test; so beware diagnostic prognostication. An ECG can mimic an acute MI but be due to many other causes.

Question 10

how much can i trust a nuclear stress test? i'm still worried my arteries might be clogged. ekg during it said "st depression possible", but negative?

Accepted Answer

Tests: All tests have their situational sensitivity and specificity. In the usual 26y/o it is not likely to have serious vascular obstruction. Choosing a test in this situation has to be done with this in mind as well as the risks vs benefits of the test. Discuss with your Doctor.

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Doctor answers about:

Can EKG tell you if artery is blocked

A member asked:

Normal echocardiogram, normal ekg, normal cholesterol levels, calcium cardiac ct ( no contrast) showed no calcium deposits, normal coratid artery ultrasound. what are chances of my having blocked arteries ( cad)?

A member asked:

Can an electrocardiogram detect blocked coronary arteries?

A member asked:

Just took an ecg yesterday results came normal. should i still worry about a stroke? also will a blood test tell me if i have a damaged nerve or artery

A member asked:

Can you tell me how precise is a nuclear stress ecg at detecting narrowing of the coronary arteries?

A member asked:

What would be the most accurate but not very invasive way to determine blocked arteries other than an angiogram. a ecg result uploaded when i suffered from a panic attack. and my gp is not happy about the ecg?

A member asked:

High cholesterol,lots of pvcs,chest pressure and short of breath. i'm worried i have blocked arteries but dr will only get ecg insisting i'm to young?

A member asked:

I had an ekg and ecg 2 years ago all normal, would this have detected any blockages in my arteries? i am 32 years old

A member asked:

Is a ekg effective for telling if you have cornary artery disease ?

A member asked:

How often do nuclear stress tests miss clogged arteries? had a month ago that was normal but an ekg yesterday said acute mi. cardio said ignore it.

A member asked:

How much can i trust a nuclear stress test? i'm still worried my arteries might be clogged. ekg during it said "st depression possible", but negative?

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