Doctor insights on:
Regular Echocardiogram Detect Atherosclerosis
No: A standard echocardiogram (echo) does not evaluate atherosclerosis, although if there has been a heart attack and heart muscle damage the effects may be able to be visualized. A test like a stress test (with or without myocardial perfusion imaging), coronary ct/mri and cardiac catheterization are often employed to detect atherosclerosis. A stress echo is designed to evaluate for the presence of cad. ...Read more
Atherosclerosis is a common disease affecting the walls of arteries. Commonly described as "clogged" blood vessels, it can cause heart attack or stroke even without severe blockages: e.g., if blood clots form on plaques. High levels of LDL cholesterol, diabetes, smoking, high blood pressure, & aging can all contribute to atherosclerosis, but prevention is possible ...Read more
Indirectly: An echo shows how the heart looks structurally and how it functions mechanically. Indirectly this can shed light on the likelihood of atherosclerosis by showing damage to the heart such as after an mi (affecting structure and function). A functional imaging study (stress echocardiogram) can test for the presence of significant coronary artery disease. ...Read more
If my cholesterol, and blood sugars and echocardiogram all are looking good, could I still have atherosclerosis? Any tests to determine if I do?
An echocardiogram.?: A chest x-ray cannot by any means detect this. A rapid 32/inch ct scan can, but quite expensive and not covered by many plans. A conventional exk can find evidence for prior heart damage including an mi, but will not address current blockage. However, a stress test (ekg based), with an individual walking on a treadmill can document coronary ischemia by looking at st-segment depression. ...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
I had a positive stress echocardiogram so they told me it reflected angina but my angiogram shows no blocked arteries what does it mean?
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 hypertrophic cardiomyopathy be missed during an echocardiogram? (A regular echo, done while lying down.)
I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?
Several things: The heart muscle, the valves, arteries such as the aorta, the four chambers of the heart, fluid around the heart if present, how hard the heart is contracting, whether it is too weak or too thick. ...Read more
Doppler effect: The echocardiogram utilizes ultrasound and a principle called the doppler effect. Doppler effect means sound waves are reflected at different velocities and this information is electronically transformed to allow visualization of structural details and provide information about blood flow velocities. ...Read more
Ask your Doctor: Echocardiogram is an ultrasound exam of your heart. It looks at the heart valves, heart muscles, blood vessels, and how they function. The exam is used when the doctor things there may be a problem with your heart muscle, valves, or blood vessels. There are too many indications to list, but your doctor or a cardiologist can determine if you should get one. ...Read more
Yes: As is the case with any test, if it is not done properly the results can be misleading. The technician doing the test has to have certain skills or the test can be misleading or just not of good enough quality to give the information being looked for. "garbage in, garbage out" they say. ...Read more
Depends: It depends on what you are trying to diagnosis. It is obviously of no use in diagnosing appendicitis. For leakage or a block in a heart valve it is very reliable. Same as for measuring how hard the muscle is contracting or whether the heart chambers are enlarged. It also depends on technical issues. Less reliable if you are 400 pounds or have lung disease. ...Read more
Likely normal: Often times unremarkable means likely normal or if no important medical consequences in medical jargon. ...Read more
WMSI is: Peak wall motion score index. It is used to predict the risk of future cardiac events. Normal=1. A WMSI of 2 indicates significant wall motion abnormalities and increased risk of cardiac events. Talk to your cardiologists about the results. ...Read more
Echocardiogram=: Ultrasound evaluation of the heart.Get a more detailed answer ›
27 mm?: What was 27 mm - your left atrium? Your aortic root? Your interventricular septum? Your mitral E point to septal separation? Etc.? Some of those would be good and some very very bad, depending on what it was that was 27 mm! ...Read more
Ultrasound of heart: Generally a technologist performs the echo which is an ultrasound of the heart. They follow a methodical procedure to take images of the heart via ultrasound from the chest. The tech also takes measurements. All of these views are put together to create a file of images and the tech puts the measurements together in a report. The doctor review the images, the report and then reports on findings. ...Read more
See below: We look at the heart muscle, the valves, the other blood vessels. We look at the structures themselves to see if they are normal or not. Valves for instance can be thickened or have calcium in them. The heart muscle can be too thick or may not contract normally. The doppler part involves looking at the direction and speed of flow of the blood. It might tell us that a valve is leaking or blocked. ...Read more
Blocked arteries is a condition in which a person has decreased or no blood flow in one or more of his arteries, due to obstructions inside the artery such as thick plaques, floating clumps of broken plaques, blood clots, etc... Severe compression due to a problem on the outside of an artery can also ...Read more