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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.

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Dr. Creighton Wright
1,180 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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Dr. Creighton Wright
3,964 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
367 Doctors shared insights

Cardiac Echo (Definition)

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