Doctor insights on:
Stress Echo Vs Exercise Stress Test
Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?
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
Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.
Ur initial ST: Is more likely false positive.With ur young age and i presume with no risk factors like hypertension , diabetes, high lipids ; strong family history of heart disease, i won't worry about it. Follow up with ur pcp or cardiologist. Take care and mabuhay! http://www.M.Webmd.Com/heart-disease/guide/stress-test--(dupe). Tp://www.Heart.Org/heartorg/gettinghealthy/gettinghealthy_ucm_001078_subhomepage.Js. ...Read more
Had echocardiogram, nuclear stress test w cardiolite, EKG and 30 day holter. Does the echo and nuclear test rule out CAD or any potential blockages?
I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?
What does no evidence of stress induced myocardial ischemia mean after stress echo but abnormal exercise stress at 9.1 mets? Reached 94% of hr.
Talk to your doc: The "stress" portion of your stress test appears to be normal, as you reached a reasonable stress (9 mets), reached target heart rate and no ischemia was demonstrated. However, there may be "resting" abnormalities on the echo, hence it was called abnormal. Discuss with the ordering physician. ...Read more
My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?
This means that the: EKG portion of your stress test had changes in the waveforms that have been known to be associated with blockages of the coronary arteries. Unfortunately, greater than 15% of the time this is inaccurate in women. Less than 5% of the time in men. This is why we always do stress testing in women along with nuclear imaging. If the nuclear imaging is negative then the EKG changes are FALSE positive. ...Read more
Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p,no blocks,but mild elevated EDP/LBBB. Is this causing dyspnea and exercise intolerance? Help?
Yes: Elevated EDP indicates left ventricular dysfunction. You did not report what your ejection fraction (EF) is - it's crucial. Your EDP may be elevated from systolic and/or diastolic dysfunction. Moreover, LBBB causes dys-synchrony which further compromises LV function. Both abnormalities you list will result in impaired functional capacity manifested as exercise intolerance. ...Read moreSee 1 more doctor answer
Low vs ?Higher Value: Stress tests only capable of detecting very advanced disease, ?chances of heart attack & do nothing to solve issues (i quit doing these 1995). Angiogram with PTCA option has risks (usually small) but can see problems & offers opportunity to open arteries & decrease symptoms at same time. The bigger issues are optimizing lipoproteins (nmr particle test), hba1c & bp, etc. To ??? disease progression. ...Read moreSee 1 more doctor answer
What type of doctors perform pulmonary function tests/exercise stress test/cardio-pulmonary stress tests?
Cardiologist: Cardiologist and pulmonary specialist.Get a more detailed answer ›
A screening test: Stress tests are largely done to identify patients at risk for heart attacks. For patients who cannot exercise due to arthritis or other reasons, Dobutamine is a drug that will mimic exercise, and allow a stress test to be done. It is not as good as exercise, but it is a reasonable alternative if exercise is not possible. ...Read more
For what?: These tests provide different information and have different indications. Stress tests are to look for evidence to support a diagnosis of symptomatic blocked coronary arteries. Holtor is used to evaluate for dysthymia. Echocardiogram is useful to look at the heart valves and other features. Choosing the right test depends on what symptoms you are having. Discuss this with your doctor. ...Read moreSee 1 more doctor answer
Both are good.: First talk with your pcp and decide if you have risk factors or family hx that make this more likely. If so, he/she may think it is reasonable. ...Read more
What's the difference between a lexiscan stress test & a stress echo dobutamine test? I have had the lexiscan before.
Nuclear/ Echo stress: Lexiscan stress generally performed with nuclear isotope, which shows blood circulation(perfusion), comparing with medication lexiscan(stressing heart) and at rest. Dobutamine echo we are looking at wallmotion of heart with medication dobutamine( stressing heart )and at rest to see they show any differences to detect blockages ...Read moreSee 2 more doctor answers
Depends on situation: Nuclear stress test involves looking at perfusion of heart for defective areas representing coronary artery disease looking for areas of permanent damage versus areas that are reversible possible related to area of coronary narrowing. Coronary ct angiogram looks at anatomy of coronary arteries looking for areas of narrowing and blockage.Answer depends on information physician needs and insurance. ...Read more
Nuclear study: This is a nuclear medicine test that tells your physician about your heart function. A small amount of nuclear tracer is given right after/during running on a treadmill followed by a scan. This is compared to a similar scan performed at a separate time under resting conditions. Any decreased area of tracer uptake in the heart during stress compared to rest indicates a possible artery block. ...Read moreSee 1 more doctor answer
In exercise stress test my sons doctor wrote:"optimal heart rate achieved for nuclear imaging", but my son had regular exercise stress test without nuclear imaging.What does it mean?
See ur cardiologist.: This is beyond my area of expertise. However, when you ask about scarring, what do you mean exactly?Damage to the heart muscles most likely would be seen on an exercise stress test. Cardiologists use many different test to find out if the heart muscles are damaged. Only with these specific test will you know if there is damage to your heart. Please follow up with your doctor. ...Read more
Recording an ekg while walking up a steeper & steeper incline, at a faster & faster rate, so as to increase heart contraction intensity & rate of contraction, thus blood flow needed by the heart muscle. However, atherosclerosis does not narrow arteries, clots do, & the ekg only detects major qualitative differences in capillary blood flow. Thus only severe artery disease ...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
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