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Doctor insights on: Tests For Stress

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Possible reasons for abnormal treadmill stress test?

Possible reasons for abnormal treadmill stress test?

Depends: depends upon the abnormality and the person being tested. 10% or more treadmills with be "abnormal" but nothing being wrong with the person. this may be due to resting ECG properties, a person's habitus or other history (blood pressure). Of course the reason we are concerned is that in the higher risk person, an abnormal stress test may indicate blockages in the coronary arteries. ...Read more

Dr. Heidi Fowler
3,161 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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What are the tests for stress incontinence?

What are the tests for stress incontinence?

Depends.: Sometimes no specific testing is needed. Other times your doctor may recommend urodynamic testing(bladder function study). A pressure sensing catheter is inserted into your bladder to determine how your bladder responds to being filled, how well it empties and to measure certain pressures. Your doctor can use this information to help determine how to best treat your specific symptoms. ...Read more

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Can nuclear stress tests be false? Any help appreciated!

Nuclear stress: There are 'false positive' nuclear stress test results possible. The cardiologists and nuclear medicine physicians who interpret the studies are trained to recognize the situations with high probability of false positivity and generally mention the possibility in the interpretation. ...Read more

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Could nuclear stress tests be false?

Could nuclear stress tests be false?

Yes...: Yes...Nuclear stress tests can have false positive results. There are different types of nuclear stress tests. There is treadmill vs. Pharmacologic and there is spect vs. Pet. There are also many different tracers such as thallium or technetium for spect and ammonia or rubidium for pet. Each type of test has its own possible pitfalls. Artifacts are often the case of false positive. ...Read more

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Is there a test for acth antibodies in an, depression and other stress disorders?

Is there a test for acth antibodies in an, depression and other stress disorders?

Not to my knowledge: There's a pop / speculative literature about "hypothalamic - pituitary - adrenal axis disease" in people with anxiety, depression and vulnerability to life's stresses. The vicissitudes of life are known to alter the hormones in this system, but most folks here probably think the focus should remain on learning new life skills, ways to manage your inner life & getting help with situations. ...Read more

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Besides spirometry test, x ray, echocardiogram at rest, are there any other tests to detect heart failure? Blood tests? Stress test?

Besides spirometry test, x ray, echocardiogram at rest, are there any other tests to detect heart failure? Blood tests? Stress test?

Yes: A cardiac catheterization can determine heart function as well as measure pressures. Spirometry measures lung function, not heart failure. Sometimes this is checked to rule out pulmonary dysfunction as a contributor to the patient's problems. Nuclear scans and specialized ct scans can also give this information. As already mentioned, there is also a blood test called bnp. ...Read more

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Are thallium stress tests and echocardiogram stress tests equal in their accuracy? Why would one be prescribed over the other?

Are thallium stress tests and echocardiogram stress tests equal in their accuracy? Why would one be prescribed over the other?

Imaging stress tests: Perfusion stress tests and echo stress tests are roughly similar in their sensitivity and specificity. The experience and expertise of the performing lab/team is more important than general test results. Some labs are far better with one than the other test. What information is desired is also critical as they show different information sets. ...Read more

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Are routine tests for bleeding disorders accurate?

Are routine tests for bleeding disorders accurate?

Yes: If the tests ordered for a bleeding disorder were not accurate, they would not be ordered - makes no sense. The question, however, is which tests are ordered and how are they interpreted - whether normal, low, or high. There are different types of bleeding disorders so different tests will help pinpoint the specific diagnosis. ...Read more

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Will a stress test also test lung function?

Generally no: There is something called a cardiopulmonary exercise stress test that does check lung and cardiac function but a regular cardiac stress test does not test lung function. ...Read more

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Are tests for myocarditis done in imaging?

Are tests for myocarditis done in imaging?

Two main tests: Echocardiogram (ultrasound) of the heart and biopsy of the heart muscle to confirm viral damage to the muscle tissue. ...Read more

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What kind of doctors perform pulmonary function tests and exercise stress tests?

What kind of doctors perform pulmonary function tests and exercise stress tests?

See below: Pfts are usually performed and interpreted by pulmonologists but any internal medicine trained doctor can interpret them. Stress tests are usually done by cardiologists but some internists do them as well. ...Read more

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What is testing for stress incontinence?

What is testing for stress incontinence?

Tests for SUI: Urodynamics, or bladder function testing, is performed to evaluate the cause of incontinence. Although stress incontinence generally occurs with cough or sneeze, sometimes a bladder contraction is started and surgery is not the remedy, rather medication may help. A small catheter is placed in the bladder and vagina to evaluate this. ...Read more

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How many blood tests are taken to test for rheumatoid arthritis?

How many blood tests are taken to test for rheumatoid arthritis?

Basic two: Rheumatoid factor (rf) and cyclic citrinullated peptide (ccp) are the two tests that help confirm a diagnosis of rheumatoid arthritis. Other tests are done to measure inflammation, determine which drugs may be used, etc. Note: the rf and ccp only help confirm the diagnosis. The presence of an antibody does not definitively make the diagnosis. Also, persons may have RA and be rf and ccp negative. ...Read more

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My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?

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

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Stress test or heart cath for beter results ?

Stress test or heart cath for beter results 
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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 more

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What blood tests should be done to check for arthritis(all types)&rheumatic pain?Please list all tests needed&would taking Penicilin influence results

What blood tests should be done to check for arthritis(all types)&rheumatic pain?Please list all tests needed&would taking Penicilin influence results

Not enough room: 400 characters won't list the labs that a mediocre rheumatologist in a fishing expedition could order. What I can tell you is that no specialty has more labs, and perhaps depends on them less, than rheumatology when it comes to making decisions about management. Penicillin won't affect them. Hoping you get a proper diagnosis. Best wishes. ...Read more

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I've worn 2 holters-30 days, other 24hrs/had a stress test/echo/ekgs/sonogram of the heart/chest xrays/bloodwork, all normal.Whats best test for palps?

I've worn 2 holters-30 days, other 24hrs/had a stress test/echo/ekgs/sonogram of the heart/chest xrays/bloodwork, all normal.Whats best test for palps?

Palpitations: Palpitations have many causes from anxiety through anatomic and physiologic abnormalities. The feeling of bounding usually relates to the volume of blood pumped with each palpitation. There is no simple single answer for the question. If you're bothered by the feeling should consult a dr. To see if the problem can be clarified. It sounds like you've had a good workup and don't need to worry. ...Read more

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Are there any other heart tests other than echo/ekg/holter/thyroid/adrenal tests to determine cause of tachy/pvcs? Should i ask for stress test?

Are there any other heart tests other than echo/ekg/holter/thyroid/adrenal tests to determine cause of tachy/pvcs? Should i ask for stress test?

Palpitations: There are many causes that can't be identified with a test like caffeine, tobacco and stress just to name a few. For some, there is no identifiable cause of pvc's. A stress test would provide a more thorough evaluation but typically that doesn't illicit the cause. ...Read more

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What are the tests for stress incontinence?

Depends.: Sometimes no specific testing is needed. Other times your doctor may recommend urodynamic testing(bladder function study). A pressure sensing catheter is inserted into your bladder to determine how your bladder responds to being filled, how well it empties and to measure certain pressures. Your doctor can use this information to help determine how to best treat your specific symptoms. ...Read more

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What are the tests for Stress incontinence?

Rarely needed...: Detailed history + simple manual urinary stress test should suffice to confirm stress urinary incontinence (SUI) for most cases. Sophisticated high-tech urodynamic testing should be just reserved for complicated or recurrent cases. So, ask your urologists or urogynecologist timely. More? Contact me at www.HealthTap.com/dr-Lin with RQPWJC to login - using audio/ video goes faster & learns more... ...Read more

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Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Cardiac MRI, CTPA, EGC 's, echo's, Chest X-rays, PET scan, blood tests, ECG stress test. All these tests, no diagnosis. Could something been missed?

Laboratory tests: Difficult to answer your question without knowing the symptoms and the physical examination that prompted the imaging studies and blood tests. What do your physicians suggest is the step? ...Read more

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Echocardiogram good, blood tests good, stress test good except for reversible ischemia but test had 10% false positives should I trust the test ?

Echocardiogram good, blood tests good, stress test good except for reversible ischemia but test had 10% false positives should I trust the test ?

Screening test: Stress test is a screening test to determine if ischemia is present. It has good although not perfect reliability. You should discuss the results and next steps with your cardiologist. ...Read more

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28 y\o, I have mobitz+sinus tachycardia- blood tests, eps, stress test and eco were ok- any idea what's the cause and how dangerous it is at my age? Tha

28 y\o, I have mobitz+sinus tachycardia- blood tests, eps, stress test and eco were ok- any idea what's the cause and how dangerous it is at my age? Tha

Mobitz I benign: If it is second degree av block mobitz type i, this usually reflects benign increased vagal tone causing slowed conduction through av node. It might occur after periods of sinus tachycardia or at night while asleep (increased vagal tone then also). Second degree av block mobitz type ii is more ominous and usuall implies pathological reduced av nodal conduction. ...Read more

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Heart palpitation while urinating and looking down. Electrocardiogram, blood tests, nuclear stress test, EKG all normal. 36yrs old male, 156lbs.

Heart palpitation while urinating and looking down.  Electrocardiogram, blood tests, nuclear stress test, EKG all normal.  36yrs old male, 156lbs.

Spinal cord injury?: Have you ever had any trauma to your spinal cord or back? Are you ever having back pain? One possibility could be autonomic dysreflexia. Having said that, this is a problem that is more common than one would thing. As an example, I am copying a link from a forum below. http://www.medhelp.org/tags/show/115006/heart-racing-while-urinating. ...Read more

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Lighter than normal period but on time 2 months in a row, multiple negative pregnancy tests, just stressing? No symptoms?

Lighter than normal period but on time 2 months in a row, multiple negative pregnancy tests, just stressing? No symptoms?

You are not pregnant: Why would anyone spend money on a pregnancy test when they had a period on time and expected? The very definition of having periods is that you are not pregnant? What is really behind the 'stressing out'? ...Read more

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5-6 weeks after possible conception, 2 periods on time but lighter than normal, on birth control, multiple negative pregnancy tests? Just stressing?

5-6 weeks after possible conception, 2 periods on time but lighter than normal, on birth control, multiple negative pregnancy tests? Just stressing?

Sorry, but: With 2 on time periods, birth control, and negative pregnancy test(s) i don't understand why you think conception is possible. This sounds like guaranteed you are not pregnant. Maybe i don't understand what you are asking? ...Read more

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Are thallium stress tests and echocardiogram stress tests equal in their accuracy? Why would one be prescribed over the other?

Imaging stress tests: Perfusion stress tests and echo stress tests are roughly similar in their sensitivity and specificity. The experience and expertise of the performing lab/team is more important than general test results. Some labs are far better with one than the other test. What information is desired is also critical as they show different information sets. ...Read more

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What kind of doctors perform pulmonary function tests and exercise stress tests?

See below: Pfts are usually performed and interpreted by pulmonologists but any internal medicine trained doctor can interpret them. Stress tests are usually done by cardiologists but some internists do them as well. ...Read more

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Have periods of constant yawning with mild SOB for 10yrs since I was a teen. O2 sat and PFT tests normal. Not stressed and don't take medicine that has it as side effect. Suggestions for relief?

Have periods of constant yawning with mild SOB for 10yrs since I was a teen. O2 sat and PFT tests normal. Not stressed and don't take medicine that has it as side effect. Suggestions for relief?

Fatigue: There can be various different reasons for this, anxiety is a common cause, sleep disorders such as obstructive sleep apnea & narcolepsy certain neuro & psych d/o are in the differential, sometimes being overweight & obese can be a cause. Recommend healthy low carb diet, regular exercise, at least 8 hrs of sleep w/ regular bed time & awakening. If not improved consider getting a sleep study done ...Read more

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Woman age 50. leg weakness, foul smelling brown "spongy" stool or diarr, extreme fatigue no energy for anything. all labs/tests are normal. stress ech?

Woman age 50. leg weakness, foul smelling brown "spongy" stool or diarr, extreme fatigue no energy for anything. all labs/tests are normal. stress ech?

Not adequate history: This may well be a very complicated case. All labs are normal. The kind of labs are not mentioned . I am not sure if I would ask for a stress echo at this time What does your doctor say? I wonder if that an ekg was normal , I might seek consult with a GI physician prior to going to a stress echo . Has anyone mentioned pancreatic insufficiency? How much alcohol do you take. See further advice. ...Read more

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I have regular periods with sore breasts beforehand, I'm 1 week late, no soreness, 3 neg preg tests. No extra stress, weight, diet changes. Am 28. ?

I have regular periods with sore breasts beforehand, I'm 1 week late, no soreness, 3 neg preg tests. No extra stress, weight, diet changes. Am 28. ?

Repeat test: I would repeat the test in 7 days. You can have a false negative test if you are less than 7 days pregnant. If you repeat test in 7 days and it is still negative then I would see your physician. ...Read more

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Pain, numbness in face, Neurologist says after tests, cause is stress. He referred me to ENT, he says I have Trigeminal neuralgia. Who do i believe?

Pain, numbness in face, Neurologist says after tests, cause is stress. He referred me to ENT, he says I have Trigeminal neuralgia.  Who do i believe?

See Orofacial Pain: practitioner for a second opinion. They are the experts in facial pain and numbness. In many cases, seeking a second opinion is not only warranted, but necessary. Unless your disease is life threatening and requires emergency care, it is never a bad idea to seek a second opinion. Getting a second opinion helps you feel more confident about your diagnosis and treatment plan. ...Read more

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