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Doctor insights on: Abnormal Ekg Stress Test

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Dr. Heidi Fowler
3,144 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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Stress ECG abnormal but coronary angiogram normal, any other test (e.G echo) to ruled out underlying heart disease?

Stress ECG abnormal but coronary angiogram normal, any other test (e.G echo) to ruled out underlying heart disease?

Stress tests: Have higher false positive (and false negative) rate than we'd like to admit. Try getting a session of multifunction cardiogram instead. It is a very accurate stress, radiation and drug free heart test! http://en.M.Wikipedia.Org/wiki/multifunction_cardiogram. ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what to do?

ECG: That is a common ECG reading which can indicate something is wrong but also can be as it says nonspecific and 'no big deal'. Ask your doctor if there is reason for concern or further investigation. ...Read more

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Echo normal, 5 EKG normal, blood work normal. What will a stress test show that an echo doesn't?

Echo normal, 5 EKG normal, blood work normal. What will a stress test show that an echo doesn't?

Stress test: There is an echo stress test, but a treadmill stress test shows the physiologic response to exercise and monitors the ECG through this. It can suggest problems with conditioning, rhythm and blood flow to the heart. ...Read more

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I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?

I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?

Zero: There's no chance for blockage. If your pulmonary artery pressure was reported on your echo, than there's no chance that's been missed either. ...Read more

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What all does a heart ultrasound, holter and heart stress test detect?

What all does a heart ultrasound, holter and heart stress test detect?

Many things. : The echocardiogram or heart ultrasound, gives an accurate picture of the heart's anatomy. An ekg demonstrates the cardiac rhythm. A holter moniters the cardiac rhythm over time- say 12 or 24 hours. These measure different aspects of heart function and are helpful in assessing heart function thoroughly. ...Read more

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My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?

This means that the: EKG portion of your stress test had changes in the waveforms that have been known to be associated with blockages of the coronary arteries. Unfortunately, greater than 15% of the time this is inaccurate in women. Less than 5% of the time in men. This is why we always do stress testing in women along with nuclear imaging. If the nuclear imaging is negative then the EKG changes are FALSE positive. ...Read more

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Had echocardiogram, nuclear stress test w cardiolite, EKG and 30 day holter. Does the echo and nuclear test rule out CAD or any potential blockages?

Had echocardiogram, nuclear stress test w cardiolite, EKG and 30 day holter. Does the echo and nuclear test rule out CAD or any potential blockages?

Tests: in your age group the tests you had suggest that you presently have no significant problems with coronary blood flow. You won't get a guarantee for the future but good diet, exercise along with no smoking and medical follow up will be prudent. ...Read more

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What would an echo stress test show....That a regular echo test doesn't?

What would an echo stress test show....That a regular echo test doesn't?

Change w/exercise : When excercised, or 'stressed', the heart needs more oxegen to function properly than at rest. If it's not getting that increase, the muscle will start to move in abnormal ways, which will show up on the echo. At rest, because it needs less oxegen, it may be getting enough, so it will look normal then. ...Read more

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Exercise stress test, 24 hour holter monitor, echo doppler test--which is done first?

Exercise stress test, 24 hour holter monitor, echo doppler test--which is done first?

For what?: These tests provide different information and have different indications. Stress tests are to look for evidence to support a diagnosis of symptomatic blocked coronary arteries. Holtor is used to evaluate for dysthymia. Echocardiogram is useful to look at the heart valves and other features. Choosing the right test depends on what symptoms you are having. Discuss this with your doctor. ...Read more

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Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what does this mean?

Ekg says normal sinus rhythm, nonspecific st abnormality, abnormal ecg, what does this mean?

Common reading: "abnormal" because there are non-specific changes which are not specific enough to meet a true diagnosis, but not normal enough to say normal, so somewhat of a soft call or indecisive read, but very common and does not necessarily mean anything. The bottom line, the ECG findings need to be placed in the clinical context in which it was taken, and compared to previous and subsequent ECGs. ...Read more

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Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Laboratory tests: Difficult to answer your question without knowing the symptoms and the physical examination that prompted the imaging studies and blood tests. What do your physicians suggest is the step? ...Read more

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M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?

Family history?: much of this hinges I feel on your family history. If you have parents, grandparents, aunts, uncles or siblings with coronary artery disease under the age of 55 then I repeat testing in 5 years, otherwise probably in 10 years. There is no consensus on this: therefore this is my own opinion as interventional cardiologist. ...Read more

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Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Probably normal: The ECG is accurate about 70-80% of the time in diagnosing cad. Adding stress echo or nuclear imaging improves accuracy to above 90% when patient reaches his or her target rate. ...Read more

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Could nuclear stress tests be false?

Could nuclear stress tests be false?

Yes...: Yes...Nuclear stress tests can have false positive results. There are different types of nuclear stress tests. There is treadmill vs. Pharmacologic and there is spect vs. Pet. There are also many different tracers such as thallium or technetium for spect and ammonia or rubidium for pet. Each type of test has its own possible pitfalls. Artifacts are often the case of false positive. ...Read more

Dr. Gregory Moneta
3 doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


Dr. Andrew Seibert
3 doctors shared insights

Stress Test (Definition)

A stress test is a cardiac test which can include walking on a treadmill and monitoring your heart while you are walking. They can also inject you with a nuclear material and do a more comprehensive scan on your heart to check for blockage. They can also do a chemical stress test which omits the need to ...Read more