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Doctor insights on: Nuclear Medicine Heart Stress Test

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Can I have a stress test done without the nuclear medicine ?

Can I have a stress test done without the nuclear medicine ?

Not as good: Stress ekg is a very sensitive test and may show signs of stress induced ischemia, such as st depressions. However, it has low specificity, therefore your md won't be able to tell you where in your heart the problem likely is. Nuclear perfusion studies show defects in the myocardial walls giving more clues regarding the possible affected territory. ...Read more

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Dr. Heidi Fowler
2,943 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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Like others, I dread the cardiac stress test or nuclear medicine test. What else is there that can better take its place at general 6 month exam? CT?

Like others, I dread the cardiac stress test or nuclear medicine test. What else is there that can better take its place at general 6 month exam? CT?

Test: Dread? First is the question of do you need any test? If there is some information needed for decision making, the question of which test then comes into play. Discussing suggested testing with your doc is best course. If the doctor doesn't need the information, you don't need the test. All tests have pluses and minuses but patients often ask for what they don't need. ...Read more

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If one has a negative nuclear stress test, should another be given in the future? How often should the heart be stressed?

If one has a negative nuclear stress test, should another be given in the future?  How often should the heart be stressed?

Depends: The standard "warranty period" for a normal nuclear stress test is about 2 years. With that in mind, it is not recommended to order repeat stress tests after someone has a normal test, unless you are having symptoms that are concerning for possible heart disease. ...Read more

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What to do if heart burning symptoms went away, should I still get a nuclear stress test?

What to do if heart burning symptoms went away, should I still get a nuclear stress test?

This is an issue: That you should actually discuss with the doctor who ordered the test - as she or he knows your medical history the best. ...Read more

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Had a nuclear heart stress test. Right after, dr. Did my hida scan on the gallbladder. Did not give more nuclear stuff. Will this affect hida results?

Had a nuclear heart stress test. Right after, dr. Did my hida scan on the gallbladder. Did not give more nuclear stuff. Will this affect hida results?

Unusual but okay: Nuclear cardiac stress test is a nuclear imaging method that shows how well blood flows into the heart muscle, both at rest and during activity. This uses a radiopharmaceutical, such as thallium or sestamibi. However, tc-99m sestamibi, has relatively high liver uptake and studies have utilized this for assessment of gallbladder contraction also. (j gastrointestin liver dis, 2007; 16:157). ...Read more

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Had a perfect nuclear stress test. Can you still have a stroke even with a healthy heart?

Had a perfect nuclear stress test.  Can you still have a stroke even with a healthy heart?

Yes: Strokes can be caused by clot getting into the brain circulation, high blood pressure and bleeding into the brain, ruptured aneurysm, and traumatic injury among other causes. It's nice that you had a negative nuclear stress test but that does not rule out vascular lesions that are not yet causing significant blockages. Your hypertension, obesity, and Motrin use would all represent risk factors. ...Read more

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Does poor r wave progressive and nonspecific st&t adnormal waves mean you had a heart attack. The findings were from a nuclear stress test.

Not specific: Poor r wave progression is a nonspecific finding. It can be caused by conduction defects , anterior myocardial infarction, cardiomyopathy, pathological conditions and lead misplacemement. This finding can only be suggestive, further evaluation should be done to determine the cause. ...Read more

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Do I have to have a nuclear stress test once a year following a heart attack?

No: Some followup and testing are reasonable. Depends on your status, any symptoms and other risk assessment. ...Read more

Dr. Joseph Accurso
100 doctors shared insights

Nuclear Medicine (Definition)

The medical specialty of nuclear medicine involves the use of unsealed radioactive pharmaceuticals that can help image molecular flow throughout the body. The medical use of radiopharmaceuticals also includes the treatment of some cancers and bone pain. Nuclear medicine is separate from diagnostic radiology, which utilizes the use of external (sealed) radioactivity ...Read more


Dr. Ira Katz
3 doctors shared insights

Stress Test (Definition)

A stress test is a cardiac test which can include walking on a treadmill and monitoring your heart while you are walking. They can also inject you with a nuclear material and do a more comprehensive scan on your heart to check for blockage. They can also do a chemical stress test which omits the need to ...Read more