Doctor insights on:
Abnormal Nuclear Stress Test Results
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
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
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
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?
How accurate are nuclear stress tests, and what does a negative result mean? No ischemia? No detectable ischemia?
Good, not perfect: You've asked an excellent question about which books are written. The accuracy depends on the likelihood that pathology is present and the prevalence of the disease in the population studied. Broadly, a negative test is 80% accurate but can lower your chance of disease from >60% to <20%. Practically, let your doc decide for you based on your unique issues whether more tests are indicated. ...Read more
Risk: That may mean you are at higher risk to develop an autoimmune disorders in the future. Since you are suffering from back pain already at your young age, perhaps you should see a rheumatologist to find out if there is any autoimmune disorder affecting your back unless the cause for the back pain is already known. ...Read moreSee 1 more doctor answer
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?
Normal D-Dimer lab, cardiac echo shows mild RCA blockage , physican ordered a nuclear stress test . I am a Paramedic ,can you code with a stress test?
Unlikely: The long answer is that you have a stressful job and you are frequently in situations that cause emotional and physical stress. You should be fine. They will be monitoring you during the test. Also, if the test were that risky, we would not do it so often. Even if you do code. You will be on a monitor in a medical facility with the ability to resuscitate. ...Read more
It depends.: A pap smear is a test used to screen for cervical cancer, where a doc takes a sample of cells from the cervix. There is a wide range of abnormal results. Some pap tests come back showing you have a virus called hpv which is extremely common in sexually active women. Pap smears can also show that the cells of the cervix themselves are abnormal, showing pre-cancerous or cancerous cells. ...Read moreSee 1 more doctor answer
Low vs ?Higher Value: Stress tests only capable of detecting very advanced disease, ?chances of heart attack & do nothing to solve issues (i quit doing these 1995). Angiogram with PTCA option has risks (usually small) but can see problems & offers opportunity to open arteries & decrease symptoms at same time. The bigger issues are optimizing lipoproteins (nmr particle test), hba1c & bp, etc. To ??? disease progression. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
What tests did they do?
-rpr, rfx qn rpr/confirm tp-pa
value (normal range
non reactive (non reactive
Normal ekgs, event monitor(pvc's), normal echo and stress test.Normal blood tests and thyroid function.Scared of sca/ha?!..Any reason to worry?!
Sca/ha: Those findings bode well. If there is no history of sca/ha in your family, spend your time worrying about something else. ...Read more
Blockage: It means that when your heart needs it, your arteries are incapable of delivering blood evenly and sufficiently to all of the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...Read more
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
Depends on situation: Nuclear stress test involves looking at perfusion of heart for defective areas representing coronary artery disease looking for areas of permanent damage versus areas that are reversible possible related to area of coronary narrowing. Coronary ct angiogram looks at anatomy of coronary arteries looking for areas of narrowing and blockage.Answer depends on information physician needs and insurance. ...Read more
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
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