Question 1

whats the difference between stress test and stress echo?

Accepted Answer

: A cardiac stress test intends to increase cardiac activity by increasing blood flow through the coronary arteries while monitoring electrical activity with an EKG and symptoms that could be related to artery blockage or spasm. A stress echo adds an echocardiogram to show the dynamic movement of the heart structures (walls, valves) and blood flow undergoing stress

Question 2

what's the difference between a lexiscan stress test & a stress echo dobutamine test? i have had the lexiscan before.

Accepted Answer

Lexiscan: The lexi study uses radioisotopes for imaging, the echo study uses ultrasound and no radioactive exposure.  Lexiscan agent is not a heart stimulant, Dobutamine is. The images obtained are different also.

Question 3

what is more accurate at diagnosing ischemia, a stress echo or a nuclear stress test?

Accepted Answer

: The echo is very dependent on the echocardiographer. I would ask the local team what they prefer and are best at.

Question 4

i am scheduled to have a nuclear stress test but upon research it looks like a stress echo can accomplish same results? i would prefer not to intake radioactive stuff.

Accepted Answer

Talk to cardio: All tests are done in a specific context and based on patient’s specific situation and comorbidities. There are clear indications and contraindications for each test and all details matter. Your cardiologist should be able to explain why the need for a nuclear stress test in your case.

Question 5

i had a stress echo at queens, ny hospital and, a, normal stress test at the mayo clinic. could two stress test in two years miss a blocked artery?

Accepted Answer

Unlikely: At your age, the likelyhood of the 2 tests missing a blocked artery is very low. Under other circumstances, it is still possilbe for the tests not to pick up a blockage. The most definitive test is an angiogram which is not indicated at your age with negative non invasive tests.

Question 6

can all types of angina, including microvascular angina and vesospasmic angina, be reliably captured with ecg changes on treadmill stress test? what is the diagnostic specificity and sensitivity of stress echo for different types of angina?

Accepted Answer

: Angina is chest/arm/jaw pain on exercise that stops when you stop. There is no way to capture except by a good history and physical. Treadmill may show changes with exercise due to not enough blood getting to heart area supplied by a narrowed/blocked artery includes vasospastic if you "spas" on the treadmill.

Question 7

i have a blunted bp when exercising or moving according to treadmill stress test. previous at rest echo was normal done few days before. cardiologist wants a stress echo. im a male 31 years old, was fine in january. how serious is this? tired always?

Accepted Answer

: It is good that you are having an evaluation by a cardiologist. Once the stress echo is done, there will be more information to determine if this is serious or not. This will determine if there is normal blood flow to your heart when you are exercising. So, get the test done and the cardiologist will be able to diagnose the problem, if there is one, and recommend treatment, if needed. Good luck!

Question 8

i had an echo and stress test was normal echo showed mild mitral and triscupid regurgitation, normal lv size and r/s occasional pac's. is this normal?

Accepted Answer

Question? Consult!: These little boxes are not good for answering specific patient case problems.  Consider a cardiology consultation here on HealthTap.   The kind of consult where you ask for help within the next 24 hours works particularly well for a complex case because it enables emailing back and forth with the details.

Question 9

i was feeling ill went to er and my d dimer was 600 but my echo and stress test was ok they said so what else could it be they never said and i still feel awful?

Accepted Answer

R/o  lung blood clot: Awful? Ill?
If short of breath, need ct chest to rule out blood clots in lungs.

Question 10

hi, 30 male, have pain upper chest sometimes dull sometimes squeezing, often when resting, echo and stress test normal, can it be unstable angina?

Accepted Answer

Symptoms: Given what you describe and your age, there is little probability of unstable angina.

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Doctor answers about:

Difference between stress echo and stress test

A member asked:

Whats the difference between stress test and stress echo?

A member asked:

What's the difference between a lexiscan stress test & a stress echo dobutamine test? i have had the lexiscan before.

A member asked:

What is more accurate at diagnosing ischemia, a stress echo or a nuclear stress test?

A member asked:

I am scheduled to have a nuclear stress test but upon research it looks like a stress echo can accomplish same results? i would prefer not to intake radioactive stuff.

A member asked:

I had a stress echo at queens, ny hospital and, a, normal stress test at the mayo clinic. could two stress test in two years miss a blocked artery?

A member asked:

Can all types of angina, including microvascular angina and vesospasmic angina, be reliably captured with ecg changes on treadmill stress test? what is the diagnostic specificity and sensitivity of stress echo for different types of angina?

A member asked:

I have a blunted bp when exercising or moving according to treadmill stress test. previous at rest echo was normal done few days before. cardiologist wants a stress echo. im a male 31 years old, was fine in january. how serious is this? tired always?

A member asked:

I had an echo and stress test was normal echo showed mild mitral and triscupid regurgitation, normal lv size and r/s occasional pac's. is this normal?

A member asked:

I was feeling ill went to er and my d dimer was 600 but my echo and stress test was ok they said so what else could it be they never said and i still feel awful?

A member asked:

Hi, 30 male, have pain upper chest sometimes dull sometimes squeezing, often when resting, echo and stress test normal, can it be unstable angina?

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