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Doctor insights on: Echo Carotid Test

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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

Dr. Bernard Seif
2 Doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more


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Normal echo 18months ago. Now have systolic murmur over aorta and carotid bruit. Is it possible for damage to develop so quickly? Could this be benign?

Normal echo 18months ago. Now have systolic murmur over aorta and carotid bruit. Is it possible for damage to develop so quickly? Could this be benign?

Unlikely: At your age it is unlikely the the carotid 'bruit' means anything is wrong. The murmur is hard to evaluate without further testing.

Non invasive eco testing could clear up most of your concerns and probably should be performed. ...Read more

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Family hist heart problem. ABI/Carotid US/Chest XR/Echo EST/EKG. All=normal. Have hypocholest and overw. Should Calcium Score for annual check? Age 38

Family hist heart problem. ABI/Carotid US/Chest XR/Echo EST/EKG. All=normal. Have hypocholest and overw. Should Calcium Score for annual check? Age 38

Calcium scoring: NO! Fix all the manageable risk factors and then sit back and enjoy the ride! .Absence of calcification does not guarantee immortality, imaging requires ionising radiation with no direct clinical benefit in you ...Read more

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Occasional strong throbbing carotid arteries. Past basic neuroexam says im fine. I feel faint during, just anxiety? Head mri, eeg, echo scheduled to ease me

Occasional strong throbbing carotid arteries. Past basic neuroexam says im fine. I feel faint during, just anxiety? Head mri, eeg, echo scheduled to ease me

You are afraid: You may have good reason or not, but I think your doctors can help you understand your conditions or lack of disease better. Ask them for information that is clear to you and also for a referral to a therapist to help you manage your disease anxiety. Understanding = help. If possible, avoid meds that will have side effects as they may just add to your worries. Best wishes. ...Read more

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Asymptomatic with 2/6 murmur over the aortic area with radiation to carotids. Where should echo be done? At the cardiologist or at imaging center?

Asymptomatic with 2/6 murmur over the aortic area with radiation to carotids. Where should echo be done? At the cardiologist or at imaging center?

Both are fine: The quality of an EchoCG, like all other tests, depends on the quality of the people performing and interpreting it. Both Cardiologist's office and imaging center may be OK if they are quality people. But you need to see a cardiologist to evaluate the findings in a given case, and to advise you what needs to be done. ...Read more

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Test states my carotid upstroke is 1+, what could this mean?

Test states my carotid upstroke is 1+, what could this mean?

It is a grading: System for recording the strength (amplitude) of the pulse, 0 (absent) through +4 (bounding). +1 would imply a decreased or weakened pulse, for example due to shock. ...Read more

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After a virtual consult can health tap doctors order tests like xrays and mris and echos?

After a virtual consult can health tap doctors order tests like xrays and mris and echos?

Only on CONCIERGE: HealthTap virtual consultations come via 2 different premium services. On PRIME, no tests are ordered, as the visits are single events, not ongoing care (a PRIME doctor does not follow-up on medical issues, and thus would not order any tests). On CONCIERGE, the doctor generally has or will start an ongoing-care relationship with the patient, and thus may order tests and follow-up at a later visit. ...Read more

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Have a stress echo coming up. Will working out beforehand to prepare improve test results?

Have a stress echo coming up. Will working out beforehand to prepare improve test results?

Not recommended: Depends on your cardiovascular fitness and your overall health profile. Usually you want to be tested as close to your baseline as possible because you are exercising your heart to exhaustion. It's usually not easy and you are asked to push your heart and body to the limit to see if your heart is experiencing oxygen hunger at that level. It may also give the examiner a false resting EKG and BP. ...Read more

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Echo tomorrow can I take. 5 mg of Ativan (lorazepam) since I am nervous or will it affect test?

Echo tomorrow can I take. 5 mg of Ativan (lorazepam) since I am nervous or will it affect test?

Anxiety: I am empathic to your condition.
In the journey of life of 48 years, there are satisfactions and stresses.
Stresses of marriage, separation, divorce, relationships, parenting, work, finances and medical illnesses can cause anxiety and OCD of health issues.
You can take Ativan (lorazepam) up to 1 mg today, and 2hours before Echo. It will not affect
See a Psychiatrist for diagnosis, Therapy, medication, yoga ...Read more

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What is the significance of a LAVI Range of 47 (Severely Abnormal) on a Doppler Echo if the other tests on the Echo are normal?

What is the significance of a LAVI Range of 47 (Severely Abnormal) on a Doppler Echo if the other tests on the Echo are normal?

Diastolic dysfxn: LAVI references left atrial volume, indexed to body surface area. A value of 47 suggests the chamber is larger than normal, and likely related to elevation of pressures in that chamber. This is called diastolic dysfunction, and suggests your heart may be stiff from potential common underlying issues, such as hypertension or aging. It may be asymptomatic and may not cause long-term issues. ...Read more

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Echo test stated mild LVH. Pwt=1.3cm and swt 1.0. Dr said echo was fine. No advice on what to do on progression. I'm 6'6 230. Is this common?

Echo test stated mild LVH. Pwt=1.3cm and swt 1.0. Dr said echo was fine. No advice on what to do on progression. I'm 6'6 230. Is this common?

Hypertrophy: Mild Hypertrophy comes after a walla >1.1cm. The most important thing to do in these cases is to make sure your blood pressure is under control.
Maybe you are more of an athlete that can expain a little enlargement in the walls. If not I would recommend getting a blood pressure device and take your BP 3 times a day for a week. See what it is doing. IF its high. Time to do some lifestyle changes ...Read more

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I had an ejection fraction of 45 have been told this is not correct it must be a blip as all other test results are normal can the echo make a mistak?

I had an ejection fraction of 45 have been told this is not correct it must be a blip as all other test results are normal can the echo make a mistak?

Yes: Echo can be very operator dependent. Muga is extremely accurate and precise for quantifying lvef since it depends on counts rather than the geometry of the ventricle. ...Read more

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What is an echo test?

Sounds waves: Sounds waves are bounced over the organ being studied to get the outline on the viewing screen. ...Read more

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How do I prepare for an echo test?

Nothing to worry: Echo is ultrasound of the heart. Can be done anytime and no need for any preparation. ...Read more

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Can you please define normal velocity of blood as measured in echo test?

Can you please define normal velocity of blood as measured in echo test?

Variable: The velocity of blood through the heart is different at different locations. Velocity is affected by numerous conditions such as underlying heart function, dehydrated state, anemia, and narrowing of the heart valves.
To provide some values for more commonly measures: the velocity across the aortic valve will typically be less than 1.5-1.7 m/s and across the pulmonic valve less than 1-1.2m/s. ...Read more

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Is it compulsory to do an echo test if you know it's a Down syndrome baby?

Is it compulsory to do an echo test if you know it's a Down syndrome baby?

No but recommended: Because many babies with down's syndrome also have cardiac or other anomalies, it is recommended to screen for those abnormalities in order to be prepared for the inherent problems at the time of delivery. ...Read more

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Can cilnidipine 5 mg taken 6 hours before echo test impact the results of the echo test. Echo was normal. I took it that day only but never ever befo

Can cilnidipine 5 mg taken 6 hours before echo test impact the results of the echo test. Echo was normal. I took it that day only but never ever befo

I hesitate to give: You a specific answer b/c I don't know what medication you mean by cilnidipine 5 mg. However, in general, b/c an echocardiogram is a structural, as well as functional, test, it's unlikely that a single dose of any prescription medication will have an effect on the results. ...Read more