Question 1

i had a stress test which is reported as equivocal. should i have a cardiac cath done?

Accepted Answer

Not necessarily: Cardiac caths are used to identify blockages in the arteries that supply blood to the heart. The idea, which makes intuitive sense, is that if a significant blockage is present, it can be opened with a balloon or a stent, presumably decreasing the chances of a heart attack in the future. This has not been shown to be true. The available evidence doesn't show cath treatment superior to meds alone.

Question 2

2011 clean cardiac cath, vq scan, echo, ekgs.since then i have done a lot of tests 2 days ago an echo stress test normal.  jaw pain when run heart?

Accepted Answer

Jaw pain: Good news. You will prob never die of heart disease. Almost certainly not heart pain unless you are an African American with high blood pressure.

Question 3

my heart doctor wants me to have a cardiac catheterization  after telling him i am having chest pain but i had a nuclear stress test no blockages ?

Accepted Answer

He may be right: Chest pains can be caused by coronary artery disease or by unrelated causes. If your pain is brought on by exertion, then I would favor that you undergo cardiac catheterization as the nuclear stress test is not 100% reliable. I personally have had such an expereince that nuclear test was fine but it missed significant narrowing of coronary arteries which was only detected on coronary artery cathet

Question 4

cardiology i have been having chest pain on exertion for a couple of years. after a stress test and a cardiac catheterization, the blockage is too small and behind the heart and hard to reach to place a stent. i am on plavix, zocor, (simvastatin) ecotrin,

Accepted Answer

Your : Your exertional chest pain (angina) is a result of poor blood flow to the region of your heart supplied by this small artery. Based on your description, this sounds like a lower-risk lesion for serious complications like major heart attack or sudden cardiac death; and so would not warrant surgical bypass or higher-risk stenting. The good news for you is that a recent large clinical trial (courage study) has taught us that this type of blockage is treated very effectively with aggressive medical therapy. You are already on good drugs, but you may benefit from increased doses and/or the addition of newer anti-anginal therapy like Ranolazine (ranexa). If you have not already been referred to cardiac exercise rehab, this may also help relieve your angina.

Question 5

spect images demonstrate inferior and apical reversibility from my nuclear stress test. is a cardiac catherization must be done?

Accepted Answer

Cath: I don't think you're providing us with enough info to say "yes" or "no". No doc should tell you to do or not to do it based on that little piece of test data. Remember, we're treating people, not test results. Heart caths are done on people with "normal" stress and other tests when presentation mandates so. In your case, without knowing all the other historical data, there is no answer to that ?

Question 6

extremely lightheaded after cardiac stress test, but it came back completely normal. report showed no abnormalities. is the lightheadedness okay?

Accepted Answer

Depends: it all depends on how long you ran for on the treadmill. If there were no arrhythmias noticed. It most likely was just related to strenuous exercise. But if it persists I would seek medical attention.

Question 7

dr. nayleh mumneh to answer- yes i have been checked for cardiac issues- had halter monitor, stress test, chest xrays, ekgs, and peek flow test done?

Accepted Answer

Dyspnea: Ok so that is ruled out, then you need to be checked for asthma, you need to see a pulmonologist or allergist and have a decent pulmonary function test, as a peak flow is only a crude measurement of lung function.

Question 8

had chest xray done yesterday. says nonenlarged mediastinal cardiac silhouette. had an echocardiogram with stress test and doppler with color flow done a couple of months ago and it was normal. is this serious? very worried?

Accepted Answer

: The wording translates as normal. Radiologists get fussed at if they say that without describing what they see. Please discuss this with your doctor. I wouldn't waste any time worrying about this.

Question 9

ct scan of coronary arteries done in er says 70% block or artifact. follow up nuclear stress test 100% normal cardiologists says. what to think now?

Accepted Answer

Follow Doctor Advice: Given that we do not have the data of the test or your full medical and physical exam, i would defer completely to the physician caring for you in person.

Question 10

what cardiac diagnoses can a stress test determine?

Accepted Answer

Stress test: Indicates exercise aerobic capacity, possible presence of ischemia or arrhythmia.

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Doctor answers about:

I had a stress test which is reported as equivocal should i have a cardiac cath done

A member asked:

I had a stress test which is reported as equivocal. should i have a cardiac cath done?

A member asked:

2011 clean cardiac cath, vq scan, echo, ekgs.since then i have done a lot of tests 2 days ago an echo stress test normal. jaw pain when run heart?

A member asked:

My heart doctor wants me to have a cardiac catheterization after telling him i am having chest pain but i had a nuclear stress test no blockages ?

A member asked:

Cardiology i have been having chest pain on exertion for a couple of years. after a stress test and a cardiac catheterization, the blockage is too small and behind the heart and hard to reach to place a stent. i am on plavix, zocor, (simvastatin) ecotrin,

A member asked:

Spect images demonstrate inferior and apical reversibility from my nuclear stress test. is a cardiac catherization must be done?

A member asked:

Extremely lightheaded after cardiac stress test, but it came back completely normal. report showed no abnormalities. is the lightheadedness okay?

A member asked:

Dr. nayleh mumneh to answer- yes i have been checked for cardiac issues- had halter monitor, stress test, chest xrays, ekgs, and peek flow test done?

A member asked:

Had chest xray done yesterday. says nonenlarged mediastinal cardiac silhouette. had an echocardiogram with stress test and doppler with color flow done a couple of months ago and it was normal. is this serious? very worried?

A member asked:

Ct scan of coronary arteries done in er says 70% block or artifact. follow up nuclear stress test 100% normal cardiologists says. what to think now?

A member asked:

What cardiac diagnoses can a stress test determine?

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