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Doctor insights on: Is It Possible To Have A Heart Attack Even If My Echocardiogram Is Normal

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Is it possible to have a heart attack even if my echocardiogram is normal?

Is it possible to have a heart attack even if my echocardiogram is normal?

Yes: There is no test which if normal guarantees that you will not get a heart attack. And the echocardiogram is not good for predictiong a heart attack anyway. ...Read more

Dr. Creighton Wright
1,182 Doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


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Severe anxiety. Echocardiogram, ekg, stress, all normal. What's the worst than can come from my palpitations? 18 in good shape. Can I have a heart attack?

Severe anxiety. Echocardiogram, ekg, stress, all normal. What's the worst than can come from my palpitations? 18 in good shape. Can I have a heart attack?

Palpitation Sx: Palpitations are an awareness of extra heartbeats which most of us have. The sensation can be single or multiple and can sometimes last minutes. Different people may feel other symptoms along with them such as dizzy, lightheaded or short of breath. The palpitations are almost always atrial or ventricular premature beats. Usually benign but they are also found with abnormal hearts. ...Read more

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Can you be having a heart attack if you echocardiogram looks normal?

Can you be having a heart attack if you echocardiogram looks normal?

Yes: Echocardiogram can indirectly suggest the possibility of a heart attack, but can also be more or less normal after a small heart attack. Its primary use is not to diagnose a heart attack, but to look a things like the function of the heart muscle and the heart valves and to examine the hearts internal anatomy. Ecg and certain blood tests are the primary tests for diagnosing a heart attack. ...Read more

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What is the sensitivity of EKGs, echocardiograms, and cardiac MRIs for detecting previous heart attacks? Would a normal echocardiogram signal good prognosis in the event of a previous heart attack?

What is the sensitivity of EKGs, echocardiograms, and cardiac MRIs for detecting previous heart attacks? Would a normal echocardiogram signal good prognosis in the event of a previous heart attack?

Very good: Cardiac MRI is the best test for detecting a previous heart attack. An echocardiogram is probably next, followed closely by ECG. All of these tests should be pretty good at picking up a MAJOR previous heart attack. A normal echocardiogram after a heart attack is indeed an excellent prognostic marker. ...Read more

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What is the likelihood of a 27 year old female having a heart attack or arrest? Chest pains but ct, ekg, echocardiogram, and echo stress test normal?

What is the likelihood of a 27 year old female having a heart attack or arrest? Chest pains but ct, ekg, echocardiogram, and echo stress test normal?

Close to zero: The chance that a young woman has a heart attack is pretty low. Add to that a normal stress test, that makes the risk even lower. ...Read more

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Had a clear echocardiogram 3 years ago, no blocked arteries. Could I have blocked my arteries enough to have a heart attack now?

Had a clear echocardiogram 3 years ago, no blocked arteries. Could I have blocked my arteries enough to have a heart attack now?

Was the: Echo study done with or without EXERCISE? If it was a "stress echo" that was negative, congrats, the chances of signicant "PREMATURE" coronary disease 3 years later is quite small...A "plain" echo is less useful in detecting coronary insufficiency and is done for STRUCTURAL reasons (Heart valves etc) It can pick up OLD cardiac injuries.
I hope this helps!
Dr Z ...Read more

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Can an echocardiogram be the cause of a heart attack?

Can an echocardiogram be the cause of a heart attack?

No: An echocardiogram is just a test, an ultrasound of the heart. There are no side effects. ...Read more

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I just wanted to know can echocardiogram detect a future heart attack?

I just wanted to know can echocardiogram detect a future heart attack?

Risk stratification: No test can predict the future. But abnormalities in heart wall motion at rest or under stress can help determine if you are at high risk for a heart attack, and if it might be helpful to do further testing. ...Read more

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Can stress echocardiogram cause death or a heart attack as due to have one tommoz and scared help...

Can stress echocardiogram cause death or a heart attack as due to have one tommoz and scared help...

Yes: Stress testing increases work a heart has to do ; can cause a heart attack by decreased blood or abnormal heart rhythms. The incidence of death or mi is. 01-.02% - very low. That is why ur doctor is constantly monitoring ur symptoms, ECG ; BP and will stop at the first sign of any complications. ...Read more

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I have intense anxiety. My chest feels very tight and achy. I feel shaky. Am I having a heart attack? Have had ecgs and echocardiogram.

I have intense anxiety. My chest feels very tight and achy. I feel shaky. Am I having a heart attack? Have had ecgs and echocardiogram.

PANIC: Get an evaluation from a psychiatrist to help identify what panic means to you and whatever else may be bothering you. Consider recommendations for medication if any are given. Get a referral for a reputable psychotherapist to speak with. Meds and therapy combined are most optimal; no just one or the other. ...Read more

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What does an echocardiogram detect? I know it’s for diagnosing heart disease, but what kind? Can it tell if I have blocked arteries or damage from a heart attack?

Echo: Echocardiogram detects how well the heart is working by calculating an ejection fraction of how much blood it is pumping out. It can also detect valve abnormalities and if certain portions of the heart are functioning properly.

I will not see blocked arteries. That is a coronary angiogram. ...Read more

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Is Echocardiogram alone sufficient for ruling out heart-attack? Declined MRI due to having bad migraines & sensitivity to the sound of machine.

Is Echocardiogram alone sufficient for ruling out heart-attack? Declined MRI due to having bad migraines & sensitivity to the sound of machine.

No: However, if you have a normal Echo and elevated troponin levels, you may have had a small heart attack. Your doctor should have told you about the troponin, if there was a concern for a heart attack. CT can be used in place of MRI. Delayed images will show an area of heart injury. However, you need to balance the radiation dose with you need to know if all else is negative. ...Read more

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I had a Echocardiogram. I had a heart attack when I was 31. I am now 57 next month. My test showed rheumatic d/o mitral tricuspid valve pericardium mass. Can't get into a cardiologist for another month. Not sure if I should worry or not. Thanks?

I had a Echocardiogram. I had a heart attack when I was 31. I am now 57 next month. My test showed rheumatic d/o mitral tricuspid valve pericardium mass. Can't get into a cardiologist for another month. Not sure if I should worry or not. Thanks?

Unfortunately the: Description you have given of the ECHO findings makes no sense at all. If you are not having symptoms it is probably OK to wait until you can see the cardiologist. If you are having problems or symptoms then I would suggest a consultation sooner or go to an ER. ...Read more

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I fear I had a silent heart attack 6-7 years ago. If I did would it show in my ecocardiogram or holter test? If not how can I find out?

I fear I had a silent heart attack 6-7 years ago. If I did would it show in my ecocardiogram or holter test? If not how can I find out?

It may: Ekg changes can show - suggest prior or current heart attack.
Q waves are residua.
Holster is an ekg of limited leads but with multiple hours and could show Q waves or st abnormalities.
Echocardiogram may have ekg as a part and may show dysfunctional areas suggestive of prior damage- heart attack. ...Read more

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What are all the possible symptoms of a silent heart attack? If I had one in the past would it show now in my ecocardiogram? I have it on my profile

What are all the possible symptoms of a silent heart attack? If I had one in the past would it show now in my ecocardiogram? I have it on my profile

None: Asymptomatic= silent but with damage and lab or ekg changes identified later.
At sleep, or sedated, or anesthetized, or confused with some GI complaint="heart burn, etc.Echo is showing an area of poor heart muscle function= dysfunction. ...Read more

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Can someone have a heart attack even if bmp is normal?

Can someone have a heart attack even if bmp is normal?

Yes: Bmp reflects degree of heart failure and may be normal after a heart attack. ...Read more

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Is it possible to have a heart attack when you have normal vitals?

Heart attack: It is possible to have a heart attack and have normal vitals. ...Read more

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Can one get a heart attack even if his 2d echo is normal?

Can one get a heart attack even if his 2d echo is normal?

Muscular function: And ischemia (lack of blood flow) are 2 separate entities...A normal echo cannot predict risk for heart attack. ...Read more

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Can a person have a heart attack, but have a normal ekg?

Can a person have a heart attack, but have a normal ekg?

Yes: Especially early in the course of a heart attack the ekg can be normal. Usually some abnormalities become present with time. A heart attack cannot be excluded based on the ekg alone. ...Read more

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Can you have a normal EKG and still have a heart attack?

Can you have a normal EKG and still have a heart attack?

Yes: Today and until the beginning, and depending on the amount of damage. ...Read more

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When you have a heart attack, is it normal to feel palpitations and pressure?

When you have a heart attack, is it normal to feel palpitations and pressure?

Yes: Pressure and palpitations are common symptoms of a heart attack. There are many others too such as sweating, arm or jaw aching, feeling of doom, nausea, and anxiety. ...Read more

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Is it normal to have a heart attack if you are 23 years old?

Is it normal to have a heart attack if you are 23 years old?

No: It is extremely rare for a person in this age group to have a heart attack. One would nearly always expect there to be an underlying problem with severely elevated blood pressure or cholesterol, likely with a strong family history of such problems, or some form of congenital cardiovascular abnormality, if a true heart attack were to occur in a 23 year old. Cocaine use could do it too. ...Read more

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Hello dr, I'm just wondering how can I over come my anxiety without medication. I had an attack earlier today felt like I couldn't catch my breath or gonna have a heart attack, is this normal? Thanks

Hello dr, I'm just wondering how can I over come my anxiety without medication. I had an attack earlier today felt like I couldn't catch my breath or gonna have a heart attack, is this normal? Thanks

Meditation, Yoga: Calm down concentrate, meditate think good calm quite area to think about.
think bout a place that take you away in your mind and be peaceful. If you pray go to the location that help you in the past. Close your eyes and get to that place in your mind relax, deep slow breath think of happy events in your life ...Read more

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Can someone still have a heart attack after the cardiologist saying that every test looks normal and there´s no evidence of heart disease?

Can someone still have a heart attack after the cardiologist saying that every test looks normal and there´s no evidence of heart disease?

Absolutely: No test detects everything; one may have a genetic predisposition, or one may use drugs that can cause a heart attack. Need more info if you want a more personalized opinion. ...Read more

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Since I have a bad case of chistochondritis how do I know if I have a heart attack? The pain is so similar it is confusing. My echo is normal.

Since I have a bad case of chistochondritis how do I know if I have a heart attack? The pain is so similar it is confusing. My echo is normal.

Different pain: Costochondritis has trigger points - there's a sore spot somewhere in the chest that make it worse - not true of heart pain. Heart pain is a squeezing, heavy, or tight sensation, often reported as "not painful" but uncomfortable that gradually worsens with exertion and resolves with rest. Finally, heart attacks are 1 in a million at your age (27). ...Read more

Dr. Creighton Wright
3,967 Doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. Rick Koch
372 Doctors shared insights

Cardiac Echo (Definition)

"shorthand" term for echocardiogram, an ...Read more