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Cardiology: what can an alternative to having a cardiac treadmill or nuclear injection stress test? a calcium score?

5 doctors weighed in across 3 answers

Calcium score: quantifies the amount of calcified plaques, but some plaques are not calcified. Stress tests (treadmill or echocardiogram) measures function of the heart muscle, whether it is receiving enough oxygen from the coronary arteries. So, short answer is, NO, calcium score is not alternative. Ask your cardiologist for specific recommendation.

Answered 7/28/2014

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Stress testing: Exercise treadmill - initial step for low to intermediate risk. High false +rates. Stress echo(se)/nuclear stress(nst) - comparable. SE-no radiation fast/completed w/in 1 hr. NST-radiation/4hrs. Calcium score gives predictive value based on amt of calcium detected. CTA - radiation and dye similar to NST/Cath. Hope this helps.

Answered 6/27/2014

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Dr. Francesco Rotatori answered

Specializes in Internal Medicine

Not exactly the same: Different type of stress test are available (ekg treadmill, pharmacological or treatmill echo, pharma or treadmill nuclear). They all try to answer one question: are there blockages in the artery of the heart that cause insufficient blood supply to the heart under stress? Calcium score tells you what is the burden of atherosclerosis (the disease that causes blockages in the artery) in your artery.

Answered 3/15/2016

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