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Doctor insights on: What Does An Abnormality In A Stress Test Mean

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Dr. Heidi Fowler
3,093 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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My mother had a stress test and it came back showing abnormalities of the heart. What does this mean for her?

My mother had a stress test and it came back showing abnormalities of the heart. What does this mean for her?

Abnormal stress: Tests can have multiple causes. Some are from artifact, some are from blockages that could cause a heart attack, some are from old heart attacks. This really needs to be discussed with her doctor. The next course of action might include an angiogram or medication. ...Read more

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I just had a nuclear stress test. What is decreased perfusion in the apico-anterior &basio interior walls with wall motion abnormality apex/inferior?

I just had a nuclear stress test.  What is decreased perfusion in the apico-anterior &basio interior walls with wall motion abnormality apex/inferior?

Study: The study suggests some congruent wall motion abnormality with areas of decreased perfusion images. You should discuss your full data with your cardiologist who knows you and your cath data and other data. All these things should be collated to present to you what your diagnosis is and what therapy may be appropriate. ...Read more

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EKGs: QTc 474, then 465.Doc said overread due to TWave abnormality which is common in MVP.Said not to worry about Long QT.Passed stress test.Thoughts?

EKGs: QTc 474, then 465.Doc said overread due to TWave abnormality which is common in MVP.Said not to worry about Long QT.Passed stress test.Thoughts?

MVP/QT interval: MVP is associated with arrhythmia/long QT interval. Your QT is longer and you have T wave abnormality- low - mid probability of long QT syndrome. Have you had syncope? any other family members diagnosed with prolonged QT syndrome? Consider eval by a cardiac electrophysiologist. Discuss keeping T4- thyroid level in the mid not high range. ...Read more

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EKG fine but doc noticed minor abnormality. Stress test, echo, ekgs fine in the past. I drank soda a few hours before and was anxious. could this be y?

EKG fine but doc noticed minor abnormality. Stress test, echo, ekgs fine in the past. I drank soda a few hours before and was anxious. could this be y?

Most likely not: John, Most people have "minor abnormalities" in their EKG's. If you already had a normal stress test, echo, and other testing at the age of 23, it was probably a random event, or it could have been flushing and rapid heart rate related to the caffeine in the soda. I would suggest avoiding caffeine, alcohol, and smoking, and if the symptoms worsen or don't go away, go see your doctor. ...Read more

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Had EKG q and t wave abnormality.I saw a cardiologist who did an echocardiogram, a 24 halter moniter and an exercise stress test, all normal.Two more EKG had same abnormality. He said i was ok ?

Had  EKG q and t wave abnormality.I saw a cardiologist who did an echocardiogram, a 24 halter moniter and an exercise stress test, all normal.Two more EKG had same abnormality. He said i was ok ?

Normal for you: Individual variations in an ECG may have no significance, if they are not associated with any structural abnormality or coronary disease. You have been thoroughly evaluated and have nothing to worry about! ...Read more

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I have mitral valve prolap. Echo was normal, stress test normal, ekg showed bordline left atrial abnormality, suffer from anxiety, should should worry?

I have mitral valve prolap. Echo was normal, stress test normal, ekg showed bordline left atrial abnormality, suffer from anxiety, should should worry?

Not yet: If u gave mitral valve prolapse, your echo ought bot to have been "normal" as u state but rather show evidence of a redundant leaflet and MVP with or without leaky valve. TheASE has strict criteria for MVP exactly bc it was very loosely being used. Pls reconcile with a cardiologist. SecondECG not test of choice to diagnose "left atrial enlargement" which is what is being suggested . Echo is. ...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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What does it mean when I have polyps in my stress test?

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

Doesnt 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?

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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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

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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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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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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 dont expect you to have coronary artery disease. ...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

Dr. John Landi
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