Doctor insights on:
Stress Echo Blockages
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
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
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? Any help would be appreciated?
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
Stress echo showed heart wall abnormality cardiologist wants to do a lhc to see if blockage in lad. Safe while being treated for diverticulitis?
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
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?
What is a better test for coronary artery blockage.... A CCTA ct heart of coronaries or a stress echo? Is either 1 more accurate? Both non-invasive...
Coronary: In general, you get better info with CT at the expense of being exposed to a lot of X Ray radiation ...Read more
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
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
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
Nervous about my stress echo tomorrow im outta shape im 23 any advice I barely exercise trying to change that now?
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
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
H ow accurate is a stress echo if you do 10 or more Mets and reach 90 percent of maximum predicted hr?
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
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
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
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
Heart test: A cardiac sonographer will place electrodes on ur chest attached 2 an EKG monitor that charts ur hearts 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
Off balance, panic feeling with 100 pulse,120/76bp. Echo came normal.haven't had stress echo though. Whats wrong?
Stress Echo-What does decreased left ventricular volume and hyperdynamic left ventricular systolic function mean?
Had routine stress/echo test which showed no ST depression and good contractility. But had peaked T waves at maximum excercise. Significant?
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
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?
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
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
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
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
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