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Doctor insights on: Stress Echo Blockages

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Chest pain for1 week-tightness in chest was periodic and now constant. Had echo stress-test, no blockage. Have lupus, now chills, no fever, now what?

Chest pain for1 week-tightness in chest was periodic and now constant.  Had echo stress-test, no blockage. Have lupus, now chills, no fever, now what?

Many causes: Could still have coronary artery disease depending on the pattern although not typical. You describe a now constant pain with a normal stress test in patient with lupus- would definitely consider pericarditis (not unusual in lupus). Also, can consider noncardiac etiologies- musculoskeletal cauuses such as costochondritis, or GI causes such as esophagitis, gastritis, peptic ulcer, etc. ...Read more

Dr. Heidi Fowler
3,152 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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Can a stress echo test pick up minimal blockage? I am 25 years old and I got to 185 bpm... How sensitive are they?

Can a stress echo test pick up minimal blockage? I am 25 years old and I got to 185 bpm... How sensitive are they?

No: Stress studies are designed to pick up a physiologically significant coronary obstruction (which produces a supply:demand imbalance when cardiac workload is high).
This typically occurs when a coronary obstruction reaches 70% occluded in severity. ...Read more

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35 male no smoking no fam his. Chol within limits Did stress echo in jan 2015 results good. Could thing have changed since leading to blockage?

35 male no smoking no fam his. Chol within limits Did stress echo in jan 2015 results good. Could thing have changed since leading to blockage?

No but: Fitst the echocardiogram test showed the heart structure and evaluate heart muscle contraction.it is not made to tell us about blockage that could lead to heart muscle infarction, but it is capable of showing infarction that happen before.so normal echo does not mean a clean artery ...Read more

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Negative stress echo two years ago, coronary ct angio showed 0 plaque and 0 atherosclerosis. Does that make it 100 percent no plaque or blockage?

Negative stress echo two years ago, coronary ct angio showed 0 plaque and 0 atherosclerosis. Does that make it 100 percent no plaque or blockage?

No test is 100%: No test is perfect. It is possible that you have very early stage plaques that are undetectable by current medical technology. The only way to know for sure is dissect your heart, which can't be done if you want to continue living. That said, you are young. If you maintain a healthy weight, healthy diet, and regular exercise you will be doing everything you can to prevent heart disease. ...Read more

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Ct angio score of 0, three negative stress echo test in 5 years, normal echo, normal event monitor low hdl, dad heart attack at 50. Do I have blockage?

Ct angio score of 0, three negative stress echo test in 5 years, normal echo, normal event monitor low hdl, dad heart attack at 50. Do I have blockage?

Tests: Given your test results you do not appear likely to have calcified obstructive coronary artery disease at the present time. If you have plaque in your coronaries it doesn't appear to be highly obstructive at the present. We can't say there are no plaques. ...Read more

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What is a stress echo?

What is a stress echo?

Ultrasound: This is an ultrasound examination that evaluates heart motion and heart valve motion during rest and exercise. It is one of several ways to evaluate the condition of the heart. ...Read more

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How does a stress echo go?

How does a stress echo go?

STRESS ECHO: Echocardiogram is an ultrasoung exam of your heart, which detects the anatomy and functioning of your heart. Stress echo is same test done after exercise on a treadmill or on bicycle, if you can not do exercise they inject Dobutamine iv, all these to increse your heart rate to meximum, and see any part of your heart muscle is not getting enough blood supply or oxygen as heart rate increses. ...Read more

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Stress echo w/complete TTE -what is it? Can you explain it for me?

Stress echo w/complete TTE -what is it? Can you explain it for me?

Ultrasound: A complete TTE is a transthoracic echocardiogram. Essentially an ultrasound probe is placed on your chest to visualize heart size and function. The stress portion means they will do an ultrasound at rest and then right after stress with exercise on a treadmill or a medication to increase your heart rate mimicking exercise. Stress can bring out abnormalities not seen at rest. ...Read more

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Have a stress echo coming up. Will working out beforehand to prepare improve test results?

Have a stress echo coming up. Will working out beforehand to prepare improve test results?

Not recommended: Depends on your cardiovascular fitness and your overall health profile. Usually you want to be tested as close to your baseline as possible because you are exercising your heart to exhaustion. It's usually not easy and you are asked to push your heart and body to the limit to see if your heart is experiencing oxygen hunger at that level. It may also give the examiner a false resting EKG and BP. ...Read more

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Nervous about my stress echo tomorrow im outta shape im 23 any advice I barely exercise trying to change that now?

Nervous about my stress echo tomorrow im outta shape im 23 any advice I barely exercise trying to change that now?

Don't sweat it: Stress echo is simple-you run in the treadmill then the echo is done immediately after. It is ordered not to test your fitness but to determine if you have some form of heart disease. Regardless, you should work out regularly for health’s sake. ...Read more

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The Latest stress echo. All normal except ANTERIOR WALL FAILS TO AUGMENT OVERALL ATTENUATED CONTRACTILE RESPONSE. EF of 55. Trivial MR and TR- Bad?

The Latest stress echo.  All normal except ANTERIOR WALL FAILS TO AUGMENT OVERALL ATTENUATED CONTRACTILE RESPONSE.  EF of 55. Trivial MR and TR- Bad?

C/w anterior heart: Attack. No stress tests work well because atherosclerosis does not narrow arteries; arteries enlarge, study: goo.gl/aRhOU2 Narrowings are a result of plaque ruptures & blood clots/thrombus within the lumen; severe narrowing is the only thing all stress tests are capable of detecting. Thus optimize the major driving factors: NMR lipoproteins LDL <700 nmol/L, HbA1c <5.0%, systolic BP <120 mmHg. ...Read more

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Do you need an angiogram if your stress echo is normal?

Do you need an angiogram if your stress echo is normal?

Need for angiogram: Not sure what the indications for a stress Echo in someone 21 years old were as the likelihood of coronary artery disease is extremely low. If the stress Echo was normal this has a good accuracy for predicting no significant coronary artery disease and therefore invasive testing with an angiogram would not be indicated. ...Read more

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H ow accurate is a stress echo if you do 10 or more Mets and reach 90 percent of maximum predicted hr?

H ow accurate is a stress echo if you do 10 or more Mets and reach 90 percent of maximum predicted hr?

Extremely Accurate: The negative predictive value of a stress echo at such a high workload is excellent. Over all populations, the chances of a cardiac event are less than 0.5% per year. In your age group and given the fact that you exercised to 10 METS, I imagine your risk is a lot lower than that.

FYI: one MET is the amount of energy the body uses at rest. You were able to push your body to produce 10 times that ...Read more

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I am 25 and I had a stress echo today. Is it normal for my BP to go to 170 over 70 while I hit 185 bpm? Resting BP is 120 over 80 give or take

I am 25 and I had a stress echo today. Is it normal for my BP to go to 170 over 70 while I hit 185 bpm?  Resting BP is 120 over 80 give or take

Yes : Your blood pressure should rise with exercise. That BPM is over 95% of maximum heart rate for age. So your stress echo should have a high degree of sensitivity for picking up mitral valve prolapse.!70 is a tad high, but the 70 was very good. Most likely they had to really increase the incline to get the rate up that high. Increase in incline increases the systolic component. ...Read more

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On an exercise stress echo what does this mean lv diastolic diameter index 1.8 cm. (2.4-3.2) all the other numbers seem to be in range help?

Suggests left: Ventricular volume is smaller than average on 2d measurement but lv end diastolic volume estimate is a better gauge of size. ...Read more

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When some1 age 25-30 has a MI, what is usually the cause? Is it cholesterol? If so how elevated is it? Recent norm stress/echo. I probably shouldn't worry?

When some1 age 25-30 has a MI, what is usually the cause? Is it cholesterol? If so how elevated is it? Recent norm stress/echo. I probably shouldn't worry?

Usually: If someone that young has a heart attack is related to genetics and/or drug use(like cocaine). Even person's with genetic cholesterol syndromes(nothing like you regularly see in the community), if and when they have early heart disease it tends to be in the 30s-40s. A normal stress test and echo always provide reasonable reassurance. Bigger question is why are you worried about heart disease? ...Read more

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I am going for a dobutamine stress echo cardiogram? What should I expect?

I am going for a dobutamine stress echo cardiogram? What should I expect?

Heart test: A cardiac sonographer will place electrodes on ur chest attached 2 an EKG monitor that charts ur heart’s electrical activity. They will perform a resting ekg, measure your resting heart rate & take your blood pressure. A dr or nurse will give the Dobutamine into ur IV while the they continue 2 obtain echo images. It will cause your heart to react as if you were exercising, your heart will go fast. ...Read more

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Off balance, panic feeling with 100 pulse,120/76bp. Echo came normal.haven't had stress echo though. What’s wrong?

Off balance, panic feeling with 100 pulse,120/76bp. Echo came normal.haven't had stress echo though. What’s wrong?

We can't possibly: Diagnose your condition with the available information. I would see what the differential diagnosis is after all of your work up is complete. ...Read more

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Stress Echo-What does decreased left ventricular volume and hyperdynamic left ventricular systolic function mean?

Stress Echo-What does decreased left ventricular volume and hyperdynamic left ventricular systolic function mean?

Normal response : If you mean stress echo showed hyper dynamic LV function and smaller LV volume after exercise, that is a normal hemodynamic response to increased work, i.e. Exercise. ...Read more

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Had routine stress/echo test which showed no ST depression and good contractility. But had peaked T waves at maximum excercise. Significant?

Had routine stress/echo test which showed no ST depression and good contractility.  But had peaked T waves at maximum excercise.  Significant?

Peaked T waves: Only the Drs ordering and interpreting this test can give you the best advice. There is no such thing as a routing stress echo test. Why was it done? ...Read more

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I know a 2nd opinion is always good but should a 29yrold male with no fam hist/non-smoker see another cardiologist? NormEKG, Stress,ECHO, HM months ago

I know a 2nd opinion is always good but should a 29yrold male with no fam hist/non-smoker see another cardiologist? NormEKG, Stress,ECHO, HM months ago

Do you own: Assuming you don't smoke and are non-diabetic, your risk is very low. You can calculate your own risk at: http://my.americanheart.org/professional/StatementsGuidelines/Prevention-Guidelines_UCM_457698_SubHomePage.jsp
Click on "launch web version" — you will be asked your cholesterol numbers and BP ...Read more

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Should I get seconds if tests is I am still experiencing symptoms? Normekg, stress,echo, holter. Age28,no family hist,non-smoker.move on to next cause?

Should I get seconds if tests is I am still experiencing symptoms? Normekg, stress,echo, holter. Age28,no family hist,non-smoker.move on to next cause?

Other things: Perhaps get assessed for anxiety. You could start by doing the Zung SAS scale which you can find online. If it fits, then maybe talk with your pcp about a referral to a psychiatrist. ...Read more

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How rare is it for a man age 25-30 to have a MI? If they did, would it be because of genetics? Does it make it more rare with norm stress & echo tests?

MI: It is very rare for a man in that age group to have an MI unless it were due to a heart condition or the use of drugs, mainly cocaine. If your stress test and echo are fine and you live a healthy lifestyle your chances of a cardiac event are very rare. Relax ...Read more

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Norm stress/echo/holter 2 yrs ago. No hist of HD. Several single skipped beats, last less than a second throughout theday. Normal to have these? Age30

Norm stress/echo/holter 2 yrs ago. No hist of HD. Several single skipped beats, last less than a second throughout theday. Normal to have these? Age30

Completely: Normal and my own opinion is that the extrasystoles ("skipped beats') can be lessened and in fact eliminated with REGULAR exercise!!!

Hope this helps!
Dr Z ...Read more

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Is it that rare for a 28-year-old male with no family history to have a MI? Is it even rarer if they had recent norm stress/echo/24holt? Stop the worry?

Is it that rare for a 28-year-old male with no family history to have a MI? Is it even rarer if they had recent norm stress/echo/24holt? Stop the worry?

Yes: It is rare for a young healthy 23 year old Male to have an MI unless you are taking drugs such as coccaine that can cause severe spasms of the coronary arteries and coronary dissection. If you are living a healthy life you should stop worrying about all bad things that can happen to your body and concentrate on how to live well instead. ...Read more

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What does pvc:2; psvc:5 mean on a stress echo report?

What does pvc:2; psvc:5 mean on a stress echo report?

Early beats?: Acronyms are not always standardized on echo reports. However, PVC and psvc may stand for premature ventricular (bottom heart chamber) and supraventricular (top heart chamber) contractions; respectively. You may have had 2 and 5 of each, during the echocardiogram recording. Commenting on the significance of this requires more information. See cardiologist. ...Read more

Dr. Bradford Patt
2 doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more