A 41-year-old member asked:
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nuclear stress test and cardiac coronary ct angiogram, which do you recommend?

1 doctor answer
Dr. Gerald Mandell
51 years experience Nuclear Medicine
Depends on situation: Nuclear stress test involves looking at perfusion of heart for defective areas representing coronary artery disease looking for areas of permanent damage versus areas that are reversible possible related to area of coronary narrowing. Coronary ct angiogram looks at anatomy of coronary arteries looking for areas of narrowing and blockage.Answer depends on information physician needs and insurance.
Answered on Jan 29, 2020
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Probably sufficient: I assume that these tests were done for evaluation of chest pain. Unless you have extreme risk factors, the likelihood of chest pain being related to ... Read More
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Plaque : you can't get guarantees but those data are as good as it gets.
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No: Your stress test has been normal. At your age it is unlikely that your pain is related to coronary heart disease therefore no need for ct angiography.
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Gold standard: Nuclear stress tests in experienced hands have a sensitivity of 80-85% and specificity around 90%. If done with exercise (as opposed to pharmacologica ... Read More
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