Doctor insights on:
Is It Possible To Have A Heart Attack Even If My Echocardiogram Is Normal
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
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
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
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
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?
Had a clear echocardiogram 3 years ago, no blocked arteries. Could I have blocked my arteries enough to have a heart attack now?
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
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
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
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?
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
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
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 EKG and echocardiogram n results are ok but I feel weak in right arm. Discomfort n pain in arms, chest for only seconds. Is heart attack coming?
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?
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
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
Is it possible to have a heart attack with completely normal ekg? What changes are looked for besides s-t segment & t wave?
Heart attack: It is possible to have a heart attack and have normal vitals. ...Read more
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
Yes: Today and until the beginning, and depending on the amount of damage. ...Read more
Would I have to have many risk factors to have a heart attack? Recent work up with cardiologist was all normal. I only have slightly high LDL. Male, 28.
No clear answer: Sure the more the risk factor the more the possibilities. But with you I think your doctor gave you the right answer ...Read more
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
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
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
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
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
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