A member asked:

Can i have a stress test done without the nuclear medicine ?

11 doctors weighed in across 7 answers
Dr. Donald Alves answered

Specializes in Emergency Medicine

Less informative: Particularly in women, whose "normal" ekgs may have minor variations from "textbook normal, " the nuclear component can add perfusion information to help the cardiologist interpret the result and cardiac risk.

Answered 11/13/2013

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Dr. Guido Davidzon answered

Specializes in Nuclear Medicine

Not as good: Stress ekg is a very sensitive test and may show signs of stress induced ischemia, such as st depressions. However, it has low specificity, therefore your md won't be able to tell you where in your heart the problem likely is. Nuclear perfusion studies show defects in the myocardial walls giving more clues regarding the possible affected territory.

Answered 9/28/2015

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Dr. Virginia Klaas answered

Specializes in Nuclear Medicine

Yes: A treadmill stress test can be done with or without a nuclear medicine study. If someone already had a test which was borderline or inconclusive..Imaging with nuclear medicine may be helpful.

Answered 12/9/2015

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Dr. Tina Stein answered

Specializes in Radiology

Yes: And in a young female with no known heart disease it is probably all you need. But it is not as sensitive or accurate as a nuclear stress test and for someone who has known heart disease it is the better test.

Answered 3/14/2016

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Exercise treadmill: You could probably have an exercise treadmill test where you exercise while an ekg is performed. Keep in mind that studies have reported that there can be false positive results in women.

Answered 12/9/2013

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Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

Yes: Stress echocardiography is test that uses ultrasound imaging to show how well heart muscle is working to pump blood to your body. It is mainly used to detect a decrease in blood flow to the heart from narrowing in the coronary arteries

Answered 11/10/2014

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Stress test. : There are stress tests that can be performed without the nuclear stuff., and they have equivalent accuracy.

Answered 2/12/2017

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