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Doctor insights on: What Does Abnormal Stress Test Mean

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What does it mean to have my stress test result be borderline abnormal?

What does it mean to have my stress test result be borderline abnormal?

You need a nuclear 1: Women have more noise in conventional ekg stress tests. For this reason for a lot of years it was recommended to give dye studies (nuclear stress tests). Frankly all of stress tests fell a bit out of favor except for risk forcasting so we didn't care so much whether it worked. But the dye study gives much more accurate results in women. ...Read more

Dr. Heidi Fowler
3,144 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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I have abnormal treadmill stress test, what does this mean?

I have abnormal treadmill stress test, what does this mean?

Stress test: Abnormal stress test suggests that the heart muscle may be getting insufficient blood flow during exercise. This finding needs to be further investigated and if necessary treated. ...Read more

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Normal stress but abnormal myocardial moderate inferior partial reversible perfusion. What means. How stress test normal and rest abnormal.

Normal stress but abnormal myocardial moderate inferior partial reversible perfusion. What means. How stress test normal and rest abnormal.

Abnormal stress test: A "myocardial perfusion defect with reversibility" indicates that there is something reducing the blood supply to the heart muscle (eg, atherosclerosis causing a blockage in the coronary.) The exercise EKG (stress test) can appear normal even if myocardial persuion is not. Additional testing, such as a catheter angiogram, may be needed. ...Read more

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I had a normal echocardiogram but a abnormal nuclear stress test. I was told that a abnormal test means you have more than 70% blockages?

I had a normal echocardiogram but a abnormal nuclear stress test. I was told that a abnormal test means you have more than 70% blockages?

Physiologically,: Arterial blockages are usually not symptomatic or highly obvious on noninvasive testing until they reach 70%. The abnormal test is wrong (falsely positive) 15% of the time too so you won't know for certain without an invasive test or perhaps very high quality CT angiogram. Discuss these concerns with your health care provider to figure out what your next step should be in your evaluation. ...Read more

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Does poor r wave progressive and nonspecific st&t adnormal waves mean you had a heart attack. The findings were from a nuclear stress test.

Does poor r wave progressive and nonspecific st&t adnormal waves mean you had a heart attack. The findings were from a nuclear stress test.

Poor R wave: Poor R wave progression could be seen in old anterior myocardial infarction (old heart attack), in lead misplacement of precordial leads by inexperienced ekg technician, also can be seen pulmonary diseases, WPW syndrome, and dextrocardia. Dextrocardia is very rare. Wpw will be seen in much young age. If you have old heart attack you should see it in nuclear stress test. ...Read more

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Has an enlarged heart, stress test abnormal Dr said wasn't enough info b/c I wasn't on treadmill long enough, HR increased to goal too quick. Means?

Has an enlarged heart, stress test abnormal Dr said wasn't enough info b/c I wasn't on treadmill long enough, HR increased to goal too quick. Means?

Could mean...: "Cardiomegaly" and a heart rate rising too quickly with exercise could mean that you have a dilated cardiomyopathy, a process whereby the heart muscle has weakened and then enlarged. Such cases will exhibit rapid rises in heart rate with minimal activity. Best thing is to get it checked out with an echocardiogram, an ultrasound study of the heart that confirms or refutes heart enlargement ...Read more

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What does it mean if my stress test is negative?

What does it mean if my stress test is negative?

Your heart's OK!: It means you did not show signs of heart trouble with exercise ("stressing the heart"), and is generally a sign that your heart function is normal, which it should be at age 34. ...Read more

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What does it mean if your stress test is negative?

What does it mean if your stress test is negative?

"negative" is good: A "negative" stress test means the absence of what is being tested for--i.e. No signs of flow-limiting blockages in coronary arteries. In other words, the heart muscle is getting plenty of blood flow. It's important to note that a normal stress test does not mean the absence of underlying non-obstructive coronary disease. Detecting this may require other tests, depending on your risk profile. ...Read more

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What does equivocal stress test mean in the results?

What does equivocal stress test mean in the results?

Equivocal stress tes: It is inconclusive stress test. Neither positive nor negative. Hence you need to undergo either cardiac cta (non invasive test) or catheterization (invasive test) to define coronary anatomy to rule out blocks in heart heart arteries. ...Read more

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NM Stress Test Results read EF 65%??? what does this mean. I only received these results and no explanation.

NM Stress Test Results read EF 65%??? what does this mean. I only received these results and no explanation.

Normal: This is a normal ejection fraction. The EF is the percentage of the volume of blood that is pushed out of the heart with each contraction. ...Read more

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What does it mean when I have polyps in my stress test?

What does it mean when I have polyps in my stress test?

Doesn't make sense: That does not make sense that you have polyps on your stress test. You might want to share a little more about your stress test report. ...Read more

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What exactly does it mean if you did badly on a nuclear stress test?

What exactly does it mean if you did badly on a nuclear stress test?

Nuclear test: It means the images on the test were not normal. You need to discuss with your doctor what the test implications are for you. It isn't so straightforward that one can know from out here. ...Read more

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What does sinus rythum suggest anteroseptal mi mean on a stress test?

What does sinus rythum suggest anteroseptal mi mean on a stress test?

Ecg: It is a reading of the echo pattern. You should discuss the test and the ecg with your doc regarding how it pertains to you specifically. ...Read more

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Does " no significant ischemia" mean their is no ischemia? This showed during stress test and found previous mi?

Maybe not: Normally if there is no ischemia, the report will say that. The statement no significant ischemia" may mean that there is a small area of posible ischemia - usually not threatening to you. Ask your doc to clarify this. ...Read more

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My stress test results were read to me over the phone by a nurse. What does large anterior reversible midlateral ischemia mean.

My stress test results were read to me over the phone by a nurse. What does large anterior reversible midlateral ischemia mean.

Heart of the matter: Please speak with your doctor himself or herself, so you can get individualized answers. The nurse's report sounds like you have signs of reversible damage to the front part of your heart muscle, from not enough oxygenated blood nourishing it. Your doctor can share his/her interpretations of these results, & make suggestions based on your whole evaluation. ...Read more

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After an exercise stress test when they say that further evaluation is needed, what does it mean? Do I need further tests? Is it necessary?

After an exercise stress test when they say that further evaluation is needed, what does it mean? Do I need further tests? Is it necessary?

Yes: If abnormal TT, u may need to do tests to r/o CAD, chf, Cardiomyoathy or arrhythmias. U may need a nuclear tt, 2-D echo with TT or Coronary Angiogram to r/o CAD. 2-D echo to r/o CM and a 24 hr Holter Monitor to r/o arrhythmia. ...Read more

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Abnormal treadmill stress test, what to do?

Abnormal stress test: If you have an abnormal test, you need to discuss it with your doctor and ask the meaning of the test and what additional steps if any need to be taken. Do you need a diet, exercise, medications etc. When you have a test the dr. Who ordered it is responsible to follow up with you or help you get follow up. ...Read more

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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

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Recent stress test shows mild ischemia anterobasally and distal apical laterally. What does it mean exactly?

Recent stress test shows mild ischemia anterobasally and distal apical laterally. What does it mean exactly?

Arterial blockage.: Ischemia in areas of the heart, as you have related, infers that the arteries that feed these parts of the heart are narrowed such that blood flow through them reduces with exertion. It means these areas of the heart are vulnerable and further testing is needed and intervention may be necessary. ...Read more

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I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia.

I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia.

Clinical correlation: Deciding best treatment option for you really depends on your symptoms...in other words, why did you have the stress test? Chest pain? Shortness of breath, etc? Second, treatment ought to be guided by risk/benefit analysis of intervention vs medical treatment. You need to have a candid discussion with a qualified cardiologist to ascertain best next step, and intervention, if any. ...Read more

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Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What is that mean?

Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What is that mean?

Reduced blood supply: Ischemia means reduced blood supply to a part or muscle. The LAD refers to one wall of the heart. This means you should follow up with your doctor or a cardiologist. You are at risk for heart disease, but it doesn't tell you how great is the risk. ...Read more

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Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What does that mean?

Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What does that mean?

Blood flow: Reversible ischemia means that an area of your heart muscle is not getting adequate blood flow (at times) but then the blood flow "catches up" (i.e. Reversible). The LAD is the left anterior descending coronary artery - it's an important blood vessel. The LAD may have a blockage - would recommend seeing your cardiologist. ...Read more

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So I had stress test done it ame back ok but they said I had reversible ischemia what's that mean am I gonna die? And had 10% positives in the test

Coronary angiogram: Reversible ischemia means that when you exercise part of heart muscle is deprived of blood supply. You are not going to die, but should consult with a cardiologist to see if you need coronary angiogram. Your heart should be at resting stage. Avoid any exercise until you have the work up done. Stress test can be sometime wrong. At age 31 I don't expect you to have coronary artery disease. ...Read more

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I'm 19 and received abnormal exercise stress test results. Is there anything that could have affected the test which may have caused the abnormal results?

I'm 19 and received abnormal exercise stress test results. Is there anything that could have affected the test which may have caused the abnormal results?

Possibly: YOu may have some congenital abnormality that has caused this problem You need to see a cardiologist and will probably require a heart cath to completely eval your heart. If this is then ok you should be in the clear. You could also have some type of viral cardiomyopathy (weak her muscle) that has caused this.
Best wishes. ...Read more

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What is a "fixed photopenia in the anteroseptal segment of the left ventricle" mean? I had a nuclear stress test done.

What is a "fixed photopenia in the anteroseptal segment of the left ventricle" mean? I had a nuclear stress test done.

Not enough info: There's not enough information to comment. It can be a breast artifact. If there's no wall motion abnormality, it's very likely an artifact. ...Read more

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Nuclear stress test showed large reversible ischemic defect in apical portions of anteroseptal wall. What does reversible mean?

Nuclear stress test showed large reversible ischemic defect in apical portions of anteroseptal wall. What does reversible mean?

Blood Flow: The purpose of a stress test is to see if there any changes in circulation when your heart is put under some type of stress, usually exercise. Reversible in this case means that under stress, there is a portion of the heart that is not getting adequate blood flow. At rest, this blood flow returns. This can be a sign of a partially blocked coronary blood vessel. ...Read more

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Stress test fine but what does "perfusion is mildly nonuniform but appears preserved through the myocardium" mean? Should I be worried?

Stress test fine but what does "perfusion is mildly nonuniform but appears preserved through the myocardium" mean? Should I be worried?

Nuclear imaging: I presume you are referring to a radionuclide stress test imaging report. The technique of the study can cause what your report says and usually does not represent a problem. There are anatomic abnormalities and variations which could also cause that appearance so although the likelihood is nothing to worry about, you can't get a guarantee from out here. ...Read more

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What exactly does it mean if someone fails a treadmill stress test during a resting period?

Stress test: We monitor the ECG during exercise and during recovery, a 'positive' test can appear in either phase. The implication is there is an abnormality in heart blood flow present. ...Read more

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What does a positive stress test for pro-vocable mayocardial ischemia mean?

Blockage: It means that when your heart needs it, your arteries are incapable of delivering blood evenly and sufficiently to all of the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...Read more

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If my lexiscan stress test is normal does that mean nothing is wrong with my heart?

Wall motion....: Stress induced heart wall motion abnormalities may not be seen on Lexiscan stress test since images are not usually acquired immediately after stress. Sometimes post-stress stunning can be detected. ...Read more

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Had nuclear stress test all clear, does this mean my heart is fine, 61year old male. Thankyou?

Had nuclear stress test all clear, does this mean my heart is fine, 61year old male. Thankyou?

Yes and No: Nuclear stress tests have a predictive value of about 95% for heart disease. You likely still have some vascular disease because of a high fat/sugar western diet, so ongoing work at diet, exercise and other healthy lifestyle choices will work to keep heart disease and other conditions under control over the years. ...Read more

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What does this mean from a stress test? Small sized, mildly reduced, fixed, apical perfusion defect consistent with artifact.

What does this mean from a stress test? Small sized, mildly reduced, fixed, apical perfusion defect consistent with artifact.

It means that there: Was a slight abnormality on the nuclear images of the test which the reader interprets as most likely related to things unassociated with your heart or heart problems such as large breasts. The test was within normal limits. It would be like taking your temperature and getting 98.7 rather than 98.6. Not exactly normal but also not indicative of a problem to be concerned about. ...Read more

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Results of a stress test it came back with a v small apical infarction with some peri-infarct ischemia noted what does that mean?

Results of a stress test it came back with a v small apical infarction with some peri-infarct ischemia noted what does that mean?

Question? Consult!: These little boxes are not good for answering specific patient case problems. Consider a cardiology consultation here on HealthTap. The kind of consult where you ask for help within the next 24 hours works particularly well for a complex case because it enables emailing back and forth with the details. ...Read more

Dr. Debra Rosenblatt
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