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Doctor insights on: Resting Ecg Waves Stress Test

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Dr. Heidi Fowler
3,108 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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27y/o non smoker. 1.5year history intermittent mild central chest discomfort worse at rest and with cold. Ecg, bloods, echo, stress test normal. Help!

27y/o non smoker. 1.5year history intermittent mild central chest discomfort worse at rest and with cold. Ecg, bloods, echo, stress test normal. Help!

Reactive airway: Perhaps you're describing reactive airway disease or asthma that's sensitive to cold & your bedroom environment (I assume that's what you mean by "at rest"). Some people w/asthma report worsening or chest tightness w/exercise & cold exposure. Check out http://www.mayoclinic.org/diseases-conditions/asthma/expert-answers/reactive-airway-disease/faq-20058010 & https://goo.gl/ZLnULG

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Halter, ecg,normal thyroid, stress test, blood work and echo all ok. Still have bradycardia sometimes at rest 41 bpm. What could it be?

Halter, ecg,normal thyroid, stress test, blood work and echo all ok. Still have bradycardia sometimes at rest 41 bpm. What could it be?

Could be...: If this slow heart rate is without other symptoms and complete lab work is normal, some people can have a slow heart rate because they are athletic. If you are not athletic and would like more answers seeing your doctor or a cardiologist to review all the tests and decide the next course of action would be appropriate.

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26, obese(bmi 41), BP 117/76. Resting heart rate only 54-60. After exercise it hardly raises. Had normal ecg/stress test last year. Is this normal?

26, obese(bmi 41), BP 117/76. Resting heart rate only 54-60. After exercise it hardly raises. Had normal ecg/stress test last year. Is this normal?

Not necessarily: As your heart rate should augment(increase) during exercise. In fact, for a stress test to be considered truly diagnostic it is defined by the you achieving a certain heart rate. If your heart rate doesn't increase either you had non-diagnostic stress test due to suboptimal heart rate levels or have some chronotropic insufficiency - as in an abnormal ability to increase your heart rate.

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Isn't a stress test EKG more reliable than a resting one? If stress test is normal than I should be good?

Isn't a stress test EKG more reliable than a resting one? If stress test is normal than I should be good?

Family practice : A stress test is better than a resting ekg in detecting potential heart disease. If there are symptoms then a thallium stress test or even a cardiac catheterization is needed to completely rule it out.

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Card did a reg stress test full blood resting EKG all good. should I worry I can still have blockage in arteries that can cause a clot and rupture.

Card did a reg stress test full blood resting EKG all good.  should I worry I can still have blockage in arteries that can cause a clot and rupture.

Arterial blockage: a "normal" stress test does not mean an absence of partial blockage, so yes you could still develop plaque fracture/rupture with a secondary clot and occlusion. A negative stress test does not unfortunately confer immortality! ongoing or newly evolving symptoms MUST always be thoroughly investigated

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Had ekg, stress test, chest X-ray, high/normal bp, 64-80bpm@rest, blood, and no sign of problem. What else could be causing chronic chest discomfort?

Had ekg, stress test, chest X-ray, high/normal bp, 64-80bpm@rest, blood, and no sign of problem. What else could be causing chronic chest discomfort?

Chest pain: Most commonly acid reflux/gastrointestinal problem or a muscoloskeletal pain. Unlikely to be anything very dangerous. Sounds like you're in a good spot with that workup.

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My cardiologist did a regular treadmill stress test on me which was normal, so was resting EKG and chst xray why do i hear stress test is not gd women?

My cardiologist did a regular treadmill stress test on me which was normal, so was resting EKG and chst xray why do i hear stress test is not gd women?

Stress test ok: The problem with the stress test in women is that there are more false positive which means the test can be positive even though you do not have disease thus "falsely positive". However on the flip side, if the test is negative then it has about an 80% predictive value meaning if it is negative then about 80% of the time you do not have disease which is about the same value as in males. You are ok

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27 with chest pounding ( almost 24/7). Ekg's, x-ray, blood, stress test, and ultrasound were fine. The chest pounding comes on mostly at night and rest w/ no pain. HR is normal. Negative for all conditions expect GERD. No anxiety. What is causing it?

27 with chest pounding ( almost 24/7). Ekg's, x-ray, blood, stress test, and ultrasound were fine. The chest pounding comes on mostly at night and rest w/ no pain. HR is normal. Negative for all conditions expect GERD. No anxiety. What is causing it?

Heart pounding: A forceful heart beat without an abnormality of heart rhythm or heart pathology may be seen with high blood pressure, but if there is no elevation of blood pressure at night when you're having symptoms, the most likely problem is a form of anxiety or a strong focussing on your heart beat especially when you're at rest. Proof of this would be absence of symptoms when you're busy, or distracted

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Frequent pvc's at rest/active. Normal ekg's, treadmill stress test, currently wearing a 14 day holter monitor. Could my period be inducing the pvc's ?

Frequent pvc's at rest/active. Normal ekg's, treadmill stress test, currently wearing a 14 day holter monitor. Could my period be inducing the pvc's ?

Unlikely: When a holter monitor is used, up to 80% of apparently healthy people will have pvc's. Your normal 12-lead ekg and exercise tolerance test will exclude the presence of most underlying heart diseases which can account for frequent pvc's. Other possibilities include lung diseases, sleep apnea, nicotine, caffeine, alcohol, and other stimulants. I don't think frequent pvc's are associated with menses.

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Resting heart rate around 53 bpm. PCP says this is ok.Passed stress test, EKG ok.Slight mitral valve prolapse.Is this a concern? Worried!!!

Resting heart rate around 53 bpm.  PCP says this is ok.Passed stress test, EKG ok.Slight mitral valve prolapse.Is this a concern? Worried!!!

Probably not: If you are active, that is, fit, your resting heart rate would be less than 60 BPM and when sleeping even lower. So the context is imp. Further, if when doing stress test, your heart rate increased appropriately, then additional evidence that you don't have chronotropic incompetence. Last, I see u r on thyroid medicine, so be sure your TSH is in normal range .

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This is my second admission for unstable angina with ECG shown inversion of "t" waves from v1-v4. Stress test done-normal. Should i go for angiogram?

This is my second admission for unstable angina with ECG shown inversion of "t" waves from v1-v4. Stress test done-normal. Should i go for angiogram?

Yes probably: If you have been admitted with unstable angina two times with inverted t waves in those leads (especially if deep and symmetrical) and an alternative cause has not been established, a definitive study such as an angiogram or perhaps a cardiac ct angiogram would be most frequently recommended.

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I am 30..SHould I ignore the chest pain if stress test and 2Decho test and ECG r negative and normal? Test done in last 5 months..Please advise

I am 30..SHould I ignore the chest pain if stress test and 2Decho test and ECG r negative and normal? Test done in last 5 months..Please advise

Never ignore: It is never a good idea to ignore an ongoing problem. You could speak with your doc about,what else it could be. Chest pains are common signs of anxiety or stress. Instead of worrying, you feel it in your body. If this is the case, talking or stress management would be more helpful than anything. Also, ask your PCP for alternative explanations for your pain. It may help you to figure it out.

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Have had a EKG, ECG and a lot of blood work. All good so far. Stress test tomorrow; should I be cautiously optimistic?

Have had a EKG, ECG and a lot of blood work. All good so far. Stress test tomorrow; should I be cautiously optimistic?

Why not?: Be optimistic. However, it is not feasible to predict the outcome of the stress test as you have not given the reason for these tests and the stress test. Wish to the best.

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I had an ECG and a stress test with dye last June & all was fine. I am not feeling well lately but hate to be a hypochondriac. Should I get checked?

I had an ECG and a stress test with dye last June & all was fine. I am not feeling well lately but hate to be a hypochondriac. Should I get checked?

More details needed: i am glad to hear you had a normal EKG and stress test. I'm sorry you don't feel well. I would be happy to help you but I need some more information about what is making you feel the way you feel

Dr. Stephen Scholand
3 doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


Dr. Shari Jackson
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