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Doctor insights on: Ecg Stress Test

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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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Dr. Heidi Fowler
3,108 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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Chest pain like something is trapped like a food or air. Cant take full breath. Is it still my anxiety or something else? Normal 2decho, ecg, stress test

Chest pain like something is trapped like a food or air. Cant take full breath. Is it still my anxiety or something else? Normal 2decho, ecg, stress test

Could be: The good news is your cardiac testing all came back normal, so the odds point to a diagnosis more of anxiety or "heart burn" due to acid reflux/indigestion. Keep seeking medical evaluations for your discomfort and hopefully and answer and treatment will come soon. Best wishes. ...Read more

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Will someone give me the best test besides angiogram to show blockages in arteries? Chest pain during exertion but passed ecg stress test. Will pay $

Will someone give me the best test besides angiogram to show blockages in arteries? Chest pain during exertion but passed ecg stress test. Will pay $

Stenoses (narrowings): Are not detected by any stress test methods until advanced (e.g. ~75%) because arterioles (constantly adjusting), not visible arteries, determine blood flow to capillaries heart & body wide. Stenoses=from plaque ruptures & clots, not atherosclerosis http://goo. Gl/aRhOU2. Better strategy Optimize disease drivers. Big 3: NMR lipoproteins (LDL-P & Large HDL-P), HbA1c & BP (& study my other answers). ...Read more

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If you sleep 5 hours only at night because of anxiety and panic attacks are you risk for much serious problem? Normal 2decho, ecg, stress test, endoscopy

If you sleep 5 hours only at night because of anxiety and panic attacks are you risk for much serious problem? Normal 2decho, ecg, stress test, endoscopy

Sometimes: About 60 million americans experience chronic sleep deprivation. There are several long term health consequences associated with serious sleep deprivation, including increased risk for hypertension, diabetes, weight gain, depression, and accidents. Have you tried reading literature on diet, exercise, sleep hygiene, meditation, etc., for your anxiety and sleep? Good luck! ...Read more

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8 months of chest discomfort, dizziness and dull pain between shoulder blades. Ecg stress test and echo normal. Can this be stress more than physical?

8 months of chest discomfort, dizziness and dull pain between shoulder blades. Ecg stress test and echo normal. Can this be stress more than physical?

Need a chest X ray: The chest pain should be evaluated with a minimum of a chest x ray. There are many causes, ranging from simple muscle strain and referred neck pain, to lung and esophageal tumors. You are urged to have a physical exam and a chest x ray, with the possibility of needing further studies, . ...Read more

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Nightly tachycardia attacks (+-180)first is 5 minutes after falling asleep always. Go to emerg but done by then. Had holter, ecg, stress test. Advice?

Nightly tachycardia attacks (+-180)first is 5 minutes after falling asleep always. Go to emerg but done by then. Had holter, ecg, stress test. Advice?

Event monitor needed: ..to capture the rhythm disturbance. One concern would be potential sleep apnea that can provoke such attacks, especially if obesity is present. Hypertensive & other structural & valvular heart disease must be excluded, then consideration for ablation might be indicated if found to be a re-entry type. ...Read more

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Please help chest pain overnight and all day im getting nervous over it is it vascular? I reel like having heart attack. Normal 2decho, ecg, stress test

Please help chest pain overnight and all day im getting nervous over it is it vascular? I reel like having heart attack. Normal 2decho, ecg, stress test

You did the right: Thing by excluding the serious condition that can endanger your life. The next step is to exclude other non cardiac causes of chest pain including acid reflux disease and anxiety disorder like panic attack. Talk to your pcp and he may help you or refer you to psychiatrist. Good luck. ...Read more

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Chest pain that last for more than an hour does it really not connected with heart attack or stroke? Normal 2decho jan 2013, ecg, stress test, endoscopy

Chest pain that last for more than an hour does it really not connected with heart attack or stroke? Normal 2decho jan 2013, ecg, stress test, endoscopy

Chest pain: Chest pain when you really drill it down, many patients will say it's really tightness. The reasons can be several. The heart is only one. Reflux can be the cause. Asthma that is undiagnosed can be another. Heart rhythm abnormalities, stress, some bruising of the lung lining etc. Context is important in discussing chest "pain". You need a thorough exam and review of symptoms with your md to know. ...Read more

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Can nerve damage cause this on & off upper left back and left chest pain (twitching, burning)or what can it be?!? Had ECG stress test normal 1 year ago

Can nerve damage cause this on & off upper left back and left chest pain (twitching, burning)or what can it be?!? Had ECG stress test normal 1 year ago

Nerves twich & burn: It would be highly unusual to find these symptoms attributed to the heart in a 21 year-old. Damage or pathology involving nerves (peripheral or central) is the most likely explanation for these symptoms. Non-organic causes are also possible if symptoms are unchanged over the past year. ...Read more

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Chest pain, hard to breath, back and neck pain, diagnosed with costo and anxiety. Normal 2d echo jan 2013, ecg, stress test, endoscopy. Do I have to worry?

Chest pain, hard to breath, back and neck pain, diagnosed with costo and anxiety. Normal 2d echo jan 2013, ecg, stress test, endoscopy. Do I have to worry?

Concern?: If the problem is not solved, if you are still in pain, then obviously you are still concerned right? Have you gotten a chest xray? I would also consider a rheumatologist (this is a connective tissue specialist) for another opinion of possible connective tissue disease. ...Read more

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Does costochondritis really feel like your having a heart attack? So how can I know which one? Normal 2decho, ecg, stress test, chest xray

Does costochondritis really feel like your having a heart attack? So how can I know which one? Normal 2decho, ecg, stress test, chest xray

With all those tests: You should feel pretty confident of the diagnosis. Pain at yourcostochondral joints is generally reproducible with pressure on the joint (s) affected by the inflammation. And yes, the pain can feel very much like a heart attack. ...Read more

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26, obese (bmi 41), BP 117/76. Resting heart rate only 54-60. After exercise it hardly raises. Had normal ecg/stress test last year. Is this normal?

26, obese (bmi 41), BP 117/76. Resting heart rate only 54-60. After exercise it hardly raises. Had normal ecg/stress test last year. Is this normal?

Not necessarily: As your heart rate should augment (increase) during exercise. In fact, for a stress test to be considered truly diagnostic it is defined by the you achieving a certain heart rate. If your heart rate doesn't increase either you had non-diagnostic stress test due to suboptimal heart rate levels or have some chronotropic insufficiency - as in an abnormal ability to increase your heart rate. ...Read more

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Normal egd, ecg, stress test, no anxiety. But can't get rid of constant chest pressure, lightheaded from pressure. Doc does not know. Now what?

Normal egd, ecg, stress test, no anxiety. But can't get rid of constant chest pressure, lightheaded from pressure. Doc does not know. Now what?

Doc should advise: Well, if what you're saying is that your doctor has ruled out some of the more likely causes of your symptoms and they can't find any abnormalities then, you will either simply have to wait to see how this evolves down the road or your doctor should make an appropriate referral to another specialist if he cannot find anything of an organic nature. ...Read more

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Headache with pain in the back of the neck and back pain? Is it stroke or heart attack? Normal 2decho jan 2013, ecg, stress test, chest xray is it alarming

Headache with pain in the back of the neck and back pain? Is it stroke or heart attack? Normal 2decho jan 2013, ecg, stress test, chest xray is it alarming

No: With all of those negative tests, in an otherwise healthy 32 year- old, it is most likely a musculoskeletal cause. A physiatrist can perform a thorough history and physical to confirm diagnosis and give you treatment options. ...Read more

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Dr. Al Hegab
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. Chad Levitt
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