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Berwick, PA
A 44-year-old male asked:

Chest pain. ecg showed down sloping st depression inferior leads very small ste avl myocardial ischemia. sensitive troponin 14. stress echo=negative. cp continues. doc says don't worry about chest pain prob anxiety. am sure not anxiety. now what?

2 doctor answers5 doctors weighed in
Dr. Donald Colantino
Internal Medicine 62 years experience
If you achieved your maximal heart rate goal & stress echo was normal,it's compelling evidence of no significant coronary blockages. Did you experience chest discomfort during the test? How impressive were st changes?You could do a coronary artery calcium score & if it's zero you should be reassured. A ct angiogram is a noninvasive test for coronary blockages.& can give you peace of mind if neg
Dr. James Chapman
Cardiology 42 years experience
See a cardiologist. You don’t really describe character if pain, or what causes/relives it. A stress test, although reassuring, is at best 88% accurate. This means 12% of time the test may miss significant coronary disease. If your pain is suggestive of angina, or you have significant risk factors, additional testing such as a heart cath may be recommended.

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Last updated Nov 6, 2021


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