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Doctor insights on: Echo Stress Test Accuracy

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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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Dr. Heidi Fowler
3,223 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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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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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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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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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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How acurate is an echo stress test?

How acurate is an echo stress test?

Typically 60-90%: While the type of stress echocardiogram is important (exercise vs chemical stress test), the mean 'sensitivity' (finding an existent problem) and the 'specificity' (a positive test=actual existent disease) vary slightly though the averages for both fall between 60-90%. Cited ranges are 51-97%. ...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?

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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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. Rick Koch Dr. Koch
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Myocardial perfusion pet stress test with persantine had caffiene within 24 hours of test ?

Dr. Rick Koch Dr. Koch
3 doctors agreed:
Myocardial perfusion pet stress test with persantine had caffiene within 24 hours of test ?

Caffeine can: Interfere with pharmacological nuclear stress tests...Best would be to do test with exercise or defer to caffeine free time. ...Read more

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Ct angiogram score of 0 in 2012, 2 negative stress echo and 3d echo. Dad heart attack at 50 and I have CHD papvr. Chest pain but negative test. Help?

Ct angiogram score of 0 in 2012, 2 negative stress echo and 3d echo. Dad heart attack at 50 and I have CHD papvr. Chest pain but negative test. Help?

CTA score?: We don't report a score with a coronary artery CTA. CAC (coronary artery calcium) score is done with CT but without IV contrast. The nonconrast study looks at calcified plaque and is useful for risk stratification but would not detect non calcified plaque as a CTA would. Partial anomalous pulmonary venous return is an extra cardiac left to right shunt and could eventually lead to pulm HTN. ...Read more

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Is nuclear stress testing or echo more accurate for calculating ejection fraction? Nuclear says 67 percent echo says 48.

Is nuclear stress testing or echo more accurate for calculating ejection fraction? Nuclear says 67 percent echo says 48.

EF: Ejection fraction can vary depending on the type of test done (echo vs. cath vs. gated nuclear stress). Nuclear MUGA scan is most accurate since is depends on counts rather than the geometry of the ventricle. ...Read more

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What heart tests are done before a decision for a heart cath .Ive had several . EKG, stressecho, Ct score, lexiscan, echo, 21 day monitor. All normal?

What heart tests are  done before a decision for a heart cath .Ive had several . EKG, stressecho, Ct score, lexiscan, echo, 21 day monitor. All normal?

Risk: A heart cath is an invasive procedure with small but definite risks including stroke, heart attack, and death. The risk is well worth taking if non-invasive tests suggest serious disease, but it is never done because of curiosity or to satisfy a whim without good reason. ...Read more

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Echocardiogram good, blood tests good, stress test good except for reversible ischemia but test had 10% false positives should I trust the test ?

Echocardiogram good, blood tests good, stress test good except for reversible ischemia but test had 10% false positives should I trust the test ?

Screening test: Stress test is a screening test to determine if ischemia is present. It has good although not perfect reliability. You should discuss the results and next steps with your cardiologist. ...Read more

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Stress test or heart cath for beter results ?

Stress test or heart cath for beter results 
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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 more

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No appetite, SOB, PVCs, rapid HR. EKG, troponin, d dimer, and chest xray good. Echo mon, tilt test in 2 wks. Need stress test? Heart attack ruled out?

Yes..anxiety: Sounds like your heart is fine but you may be stressed out over something. Calm down and do a thorough self analysis to unravel whatever is making you tic! ...Read more

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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?

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

Dr. Suzanne Galli
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


Dr. Michael Gabor
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