A 48-year-old male asked:
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stress test or heart cath for beter results ?

1 doctor answer
Dr. Linda Gromko
47 years experience Family Medicine
Different info/risk: In a stress test, you have an echocardiogram (sound wave test to evaluate the muscle squeeze, valve function, etc), you exercise, and then get re-echo'd to see if the heart acts differently at peak activity. A heart cath or angiogram involves placing a catheter in the groin, feeding it up to the big vessels that lead into the heart, and injecting contrast to assess blockages. More risk, more info.
Answered on Jul 7, 2019
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Dr. Linda Gromko
47 years experience Family Medicine
Provided original answer
Talk with YOUR doctor about what test is best for your situation! LGromkoMD
Jan 21, 2013
Dr. Venkata Chilakapati
22 years experience Cardiology
Stress test is for risk stratification and prediction of future cardiovascular event risk. Cardiac catheterization is for visualization of coronary arteries. It is an invasive test. Selection of test depends upon your baseline risk. If your pretest probability for coronary artery disease is high then cardiac catheterizxation is better. If the pre-test probablity for coronary artery disease is intermediate then stress test is the choice. For low risk and asymptomatic then no further testing.
Jan 28, 2013

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