echocardiogram vs angiogram

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Dr. Mark W. Gujer answered:

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

The

Echocardiogram
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.
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Dr. Bahman Omrani answered:

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

Chest_pain
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.
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Dr. Ed Friedlander answered:

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

Computed_tomography
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.
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Dr. Ed Friedlander answered:

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

Stay fit

Heart_failure
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.
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Dr. Mark Rasak answered:

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

Depends

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

Results

Angiogram
Because these are two different imaging modalities, it is possible to get divergent results. Generally however these two studies show congruent data
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Carotid artery disease, what to believe, if different results from duplex ultrasound vs. ct angiogram (cta)?

CTA better

Artery
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
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What is a CO2 angiogram?

Another contrast

Angiogram
CO2 gas is used as the contrast agent rather than iodinated dye. It is usually reserved for people with allergic history to iodinated dye or poor renal function. This agent cannot be used in all blood vessels. It is a good agent when indicated but should only be used by a trained specialist familiar with the use of this material
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Dr. Mark J. Stern answered:

Is an angiogram painful?

No

Cardiac_catheterization
No, they use numbing medicine like when you go to the dentist.
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What's an angiogram for?

Imaging

Angiogram
To image a blood vessel. This will determine the path,shape,diameter,perfussion territoryand presence or absence of stenosis.
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