Doctor insights on:
What Does An Inconclusive Angiogram Test Mean
Borderline: Not everythng is black or white. You could have a blockage in an artery which is not severe so that maybe it has nothing to do with your symptoms. The result then would be inconlusive. The test is not totally normal but the problem may not be severe enough to cause symptoms or require treatment. ...Read more
My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?
Question unclear...: I am not sure what your question is because I don't know the context. Angiograms are done to look at the heart vessels, the plumbing so to speak of the heart. This analyzes the blood flow to the heart muscle. EPS/RFA refers to procedures that are done to analyze and treat electrical functions/problems of the heart. Usually angiograms and EPS are not discussed in the same breath-different topics. ...Read more
Back from angiogram really normal, but with borderline 1 degree block what does this mean and advise accordingly please.
1st degree block: Atrioventricular (AV) block refers to the conduction of the cardiac electrical activity through the AV node. Borderline 1st degree block is usually a minor finding, but the meaning for a particular patient would depend on your age, symptoms, medicines, and other factors. ...Read more
What is hypertrophy:
When heart is stiff it doesn't relax to function at the full capacity. You might have long standing hypertension or other reasons to have stiff heart muscle. Your risk is high if BP is not well controlled and will need close monitoring with specialist in the field of hypertrophy cardiomyopathy specialist consult with your cardiologist who you are being cared by.
I am glad to be helpful. ...Read more
Angiogram test showed 2 blocks of 90% blockage which needs to be treated by angioplast. Is it necessary to do urgently? Or can it be treated by med?
Angioplasties: These procedures are indicated when the symptoms are not controlled by medical therapy. If it's indicated, the symptoms severity would dictate the acuity of the procedure. ...Read more
An MRA of the brain is very robust. With MR you can have a 3-dimensional picture of the vascular anatomy. MR does not have any radiation, the contrast less commonly has adverse reaction and is noninvasive.
The only compelling reason not to do MR is if you have other contraindications or need actual intervention (ex. embolization) ...Read more
If a percentage could be assigned, how accurate are coronary angiograms and nuclear stress tests? Strengths and weaknesses of both?
Gold standard: Nuclear stress tests in experienced hands have a sensitivity of 80-85% and specificity around 90%. If done with exercise (as opposed to pharmacological), the sensitivity and specificity are a bit better, worse without exercise. Angiograms are the gold standard and rarely miss significant disease - accuracy is 99%. Angios are invasive with mortality of 0.1% Mortality w stress is. 01%. ...Read more
Acute symptoms?: Heart attack symptoms can include: chest pressure, pain or tightness that can radiate to arms, neck, jaw or back; nausea, shortness of breath, sweating, lightheadedness, dizziness, fatigue, anxiety or a sense of impending doom. Some heart attacks can be silent. Seek urgent medical evaluation if you think you may be having a heart attack. ...Read more
20 months ago coiled aneurysm. I am worried about electrodes being placed on my head for retina angiogram test incase it affects my platinum coils.?
No effect: I am guessing you are being tested for retinal function. This will involve flashing lights and electrodes to pick up the signal. An alternative test is for nerve transmission with flashing lights and electrodes on the back of the head. Neither of these tests will interact with your platinum coils. Enjoy the flashing lights. ...Read more
I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?
Answering why: Most doctors rule out or ensure the absence of life threatening events. A typical problem with a tumor that is cancerous is "angiogenesis" which is developement of new blood vessels. It does not mean that a cancer is there. It means that bads things are ensured to not be there. ...Read more
I had an echo twice. A CT heart angiogram. Stress test. And a chest CT with double contrast. Could all of this miss a artery that is, blocked or partially blocked? Chest pain is bad so I am not sure why?
Highly doubtful: You have had many high tech procedures aimed at evaluating your chest pain: ct angiogram, stress test, and double contrast ct. If looking for a coronary artery obstruction, these should be sufficient. The likelihood of finding a blockage in a person this age range is already exceptionally low, for heart vessel blockages don't occur in this age gp. Must be some other process causing the pain. ...Read more
Just that: I assume it is the anterior communicating (posterior duplications are very rare). This may represent just an incidental finding, a normal anatomic variation. Lots of people may have this and live a perfectly normal life without ever knowing it. Your neurologist or general dr will explain the implications, correlating it with your individual case and clinical presentation / symptoms. ...Read more
Could a person request an angiogram without a specific referral from the physician if he/she agrees to pay for the test?
No: No reputable doctor would perform an invasive test that carries a small but measurable mortality risk without a proper indication. (ability to pay does not constitute a proper indication). ...Read more
Probable left atrial abnormality. P>50mS, <-0.10mV V1 Meaning? What test, angiogram? Veinography? Should I be concerned?
Ecg: That finding on an ecg doesn't mean a whole lot. You need to discuss your own situation with your Doc in case there are other factors that need to be considered. ...Read more
Chestpain, leftarmpain, leftJawpain, leftlegpain. Some palpitations and cough. Had Every test except angiogram, all normal. What is it?
Unknown: Can't answer without more info. Sounds like a cardiac problem, sounds like you've seen a cardiologist. Start there, and insist on some answers. The doctors you are seeing have the results of the tests. We do not. Best Wishes ...Read more
Is it possible for a person to request an angiogram without a specific referral from the physician if he/she agrees to pay for the test?
Angiogram: A person can request anything. An ethical physician will not offer a test unless the benefits to risks of the test for the individual patient are appropriate. ...Read more
29 y/o male, treated for hbp, have severe chronic stress and anxiety. Worried about stress test due to being bedridden a year should I hv angiogram?
Share your: Concerns w/your doctor. Also, your stress test will be well supervised and it will be stopped if needed. Please see a mental health professional to learn strategies to help your anxiety disorder. Medication may have a place but learning strategies is very useful. Peace and good health. ...Read more
2 different exams: Angiogram involves injection intravenously of contrast and radiographic (x-ray imaging) of chambers of heart, coronary arteries, great vessels. Ct angiogram involves injection of contrast and cross sectional imaging of these cardiovascular structures. Myocardial perfusion scan involves injection of isotope that shows myocardium looking for perfusion defects, ischemia and infarct. ...Read more
Neg nuc stress test in 2009 and 2013. Neg angiogram in 2014. Upper left chest pain with exertion. Why is this happening? Very frustrated.
There are other:
Causes of exertional chest pain besides cardiac causes. Esophageal causes such as esophagitis or esophageal spasm need to be ruled out. Panic with hyperventilation can cause this. See the following web site for more information. Best wishes. See your family doc for further work-up with referral to a GI doctor.
www. Ncbi. Nlm. Nih. Gov/books/nbk416
for patients reporting chest pain brought on by exert. ...Read more
2 normal Nuc Stress tests in 4 years and normal Echo and Angiogram last year. Still get upper left chest aches when stressed. Possibilities?
Muscle pain or spasm: If the previous test results are normal and rule out blockages in the coronary (heart) arteries, then there are several possibilities. A spasm could affect coronary arteries when a person Is stressed resulting in symptoms. The condition is called Prinzmetal's angina. A muscle spasm can also occur with stress as body tenses up. Consider concierge consult to look into it more and get answers. ...Read more
29 y/o male, being treated for hbp. Have severe stress and chronic anxiety. Should I have angiogram? Worried about stress test cuz bedridden for a yea
I heard ct angiograms can show plaque composition. So does this mean it shows which plaques are vulnerable?
My mother (49) has myocardial ischemia for past 6 months. But now there's no pain. Is it necessary to take an angiogram test?
I had chest and abdomen pain 4 days ago came to emergency and all test were done angiogram came out good but my troponin is high 7.9 is it scary?
Complication: If a perforation of the artery is noted, it would indicate that there has been a complication of the procedure itself. The artery has been torn by the catheter or wire. Ithis does not happen commonly but it can occur. It is a serious complication and can lead to bleeding in the sac around the heart and death. The bleeding can be controlled by blowing up a balloon in the artery or by a stent. ...Read more
Is cardiac MRI stress testing safer than cardiac angiogram? I'm really worried about my MRI stress test tomorrow.
Yes, since: MRI is relatively noninvasive, and angiogram requires catheterization. The tests do not provide the same information, however. MRI looks for ischemic or infarcted myocardium, which cannot be readily diagnosed on angiography. Each test has its own limitations and indications. ...Read more
Had coronary angiogram initial result were mixd plaques prox segment 627 of the LAD no stenosis & right dominant circulation. What does this mean?
Earlier post: I see you're on-line - please see my earlier post to you. ...Read more
I get throbbing headache after intense work out, lasts few secs. Doctor thinks not serious. Still worried but don't want angiogram, are other tests?
Failed stress test. EF 33%. Poss. Blockage both RCA and LAD. Will be doing angiogram. What are chances this can be resolved with stent vs. Surgery?
Angiography: When the clinical indication for an interventional procedure in addition to medical therapy is present, one needs to first see the coronary anatomy to determine what is the best procedure for the patient. When multivessel disease is present in such a patient, often surgical intervention is preferable to stenting but not always. After the angiogram discuss the choices with your Dr. ...Read more
MI o phobia: Go see your physician and discuss your problem. Your physician can judge the best course of action to help you. ...Read more
I had a positive stress echocardiogram so they told me it reflected angina but my angiogram shows no blocked arteries what does it mean?
Can a sinus infection affect a stress test? Echo perfect and stress test had abnormality? And is there a less invasive procedure than angiogram?
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