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Doctor insights on: Echocardiogram Vs Angiogram

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Should everyone have a stress test and how long are test like stress, echocardiograms and angiograms good for? I had this complete work-up in 2008 and the impression was no visible coronary heart disease. Yet said the patient does have diastolic dysfunc

Should everyone have a stress test and how long are test like stress, echocardiograms and angiograms good for?  I had this complete work-up in 2008 and the impression was no visible coronary heart disease.  Yet said the patient does have diastolic dysfunc

Not everyone needs: Stress test echocardiograms and angiograms give a lot of information but do not predict everybody who goes on to have disease. Not everyone has a gradual reduction in vessel size. Some people will form a clot that can occurr in minutes leading to heart attack. Keep cholesterol's under control, blood pressure monitored, diabetes treated, don't smoke and keep your weight down and should be ok. ...Read more

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Dr. Rick Koch
304 doctors shared insights

Echocardiogram (Definition)

Echo refers to reflections of sound waves, typically 0.5-10mhz, sent through a body structure, all variants of water density. Cardio refers to heart. Gram refers to a picture or graphical representation of the data. A form of us, these help see certain aspects of our hearts behavior/function, real-time in motion picture video. Quality & usefulness varies widely as ...Read more

Dr. Steven Ajluni
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Rate related (fast palpitations when starting to run)left bbb in 32 year old.Low cholesterol. Echocardiogram fine. Awaiting CT angiogram.Serious?

Rate related (fast palpitations when starting to run)left bbb in 32 year old.Low cholesterol. Echocardiogram fine. Awaiting CT angiogram.Serious?

Betting you're fine: Many people are born with a left bundle branch block that means nothing. And many folks' hearts pound when they start to run. For me, the most important thing is that you're fitness-focused. The cardiology team is doing it's job and covering its bases. I'd bet on you as someone who'll be healthy into late old age. ...Read more

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Dr. Steven Ajluni
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Son, 32, has palpitations on exertion. Ecg =left bbb, normal cholesterol level and echocardiogram normal.Awaiting CT cardio angiogram.How bad? Thanks.

Son, 32, has palpitations on exertion. Ecg =left bbb, normal cholesterol level and echocardiogram normal.Awaiting CT cardio angiogram.How bad? Thanks.

Stay fit: I'm simply glad he's exercising & hope he keeps it up. Many people have a left bundle branch block for no reason -- i think it's a minor developmental variant. I'm also going to assume that these are common palpitations and there's no reason to think it's a channelopathy or v-tach. Trusting he's not overdoing caffeine. I'm betting no cause will be found and that these will not be a problem. ...Read more

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How come i need a echocardiogram, after having a angiogram?

How come i need a echocardiogram, after having a angiogram?

The: Angiogram does a great job of telling us the degree of occlusion within the heart blood vessels. The echo however gives us information about the muscle and valve function. These two things together are needed for the best care. ...Read more

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I had a positive stress echocardiogram so they told me it reflected angina but my angiogram shows no blocked arteries what does it mean?

I had a positive stress echocardiogram   so they told me it reflected angina but my angiogram shows no blocked arteries what does it mean?

It means : You don't have large coronary artery disease. But the the smaller arteries not seen on angio could be ischemic and may explain your system. Or your heart condition is not not from an ischemic cause which would also explain the normal angio and abnormal echo. ...Read more

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How often does an echocardiogram test show an artifact vs real problem?

Depends: Certain body types such as morbid obesity can cause poor images. Pts with COPD will also result in poor pictures as well. Some remenants from when we were in our moms uterus can also persist and be picked up on ultrasound. Most of the time its benign. Other types of artifacts may be due to technique of the technician and ofcourse the experience of the reader. ...Read more

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Failed stress test. EF 33%. Poss. blockage both RCA and LAD. Will be doing angiogram. What are chances this can be resolved with stent vs. surgery?

Failed stress test.  EF 33%.  Poss. blockage both RCA and LAD.  Will be doing angiogram.  What are chances this can be resolved with stent vs. surgery?

Angiography: When the clinical indication for an interventional procedure in addition to medical therapy is present, one needs to first see the coronary anatomy to determine what is the best procedure for the patient. When multivessel disease is present in such a patient, often surgical intervention is preferable to stenting but not always. After the angiogram discuss the choices with your Dr. ...Read more

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Carotid artery disease, what to believe, if different results from duplex ultrasound vs. Ct angiogram (cta)?

Carotid artery disease, what to believe, if different results from duplex ultrasound vs. Ct angiogram (cta)?

CTA better: Although cta is more accurate but it also depends on image quality done by radiology . If there is two conflicting studies of the carotid artery , then you should get the gold standard conventional arteriography if clinically indicated. ...Read more

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Carotid artery disease, different results from duplex ultrasound vs. Ct angiogram (cta), is that possible?

Results: Because these are two different imaging modalities, it is possible to get divergent results. Generally however these two studies show congruent data. ...Read more

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Can an echocardiogram or a chest cray see if there are any blocked arteries?

Can an echocardiogram or a chest cray see if there are any blocked arteries?

An echocardiogram..?: A chest x-ray cannot by any means detect this. A rapid 32/inch ct scan can, but quite expensive and not covered by many plans. A conventional exk can find evidence for prior heart damage including an mi, but will not address current blockage. However, a stress test (ekg based), with an individual walking on a treadmill can document coronary ischemia by looking at st-segment depression. ...Read more

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Dr. Rick Koch
291 doctors shared insights

Cardiac Echo (Definition)

Cardiac echo is also known as Echocardiogram. Cardiac echo is a somewhat redundant term for "echocardiogram." during this painless procedure, harmless sound waves are passed into the chest and reflected back, providing a detailed image of the heart, measures of the flow of blood within it, and information about certain structures which surround ...Read more

Dr. Jane van Dis
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Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more

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Dr. Steven Ajluni
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