Doctor insights on:
What Does It Mean If My Stress Test Is Negative For Angina
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
Test stop with pain: I presume you are scheduled for an Exercise Stress Test or a Treadmill Test, where an EKG is performed while you walk on a treadmill. In this stress test, the test must be stopped as soon as you experience chest pain. Therefore, the test is not useful (and thus contraindicated) in patients with unstable angina. Less invasive tests such as a nuclear medicine scan may be used instead. ...Read more
Heart attack: With unstable angina the cardiologists do not like to do a stress test because the stress on the heart could precipitate a heart attack. If they need to examine the heart in someone with unstable angina they are more likely to do a coronary angiogram so they can look directly at the vessels without stressing the heart. Also with the do the angiogram they may be able to place a stent for treatment. ...Read more
34 year old male. No famil history and normal cholestrol. Will stress test and ekg predict angina?
Cardiology: As with any medical diagnostics, a "stress test" for your heart has many, many variables that affect its interpretation. Cardiac testing can suggest the presence of coronary artery disease or angina but will not predict the future development of it. The best place to start is a thorough history and physical exam :) ...Read more
What is the reliability of a nuclear stress test? Particularly with regard to ruling out angina / cardiac related chest discomfort?
Angina: A nuclear perfusion test in the right lab can reliably indicate whether abnormal myocardial perfusion is present. Angina pectoris is a symptom of abnormal myocardial perfusion. A positive perfusion study in a good lab has greater than 90% specificity and a negative test slightly less. Some labs are not as good as others as with any study. ...Read more
Hi, 30 male, have pain upper chest sometimes dull sometimes squeezing, often when resting, echo and stress test normal, can it be unstable angina?
Symptoms: Given what you describe and your age, there is little probability of unstable angina. ...Read more
This is my second admission for unstable angina with ECG shown inversion of "t" waves from v1-v4. Stress test done-normal. Should I go for angiogram?
Yes probably: If you have been admitted with unstable angina two times with inverted t waves in those leads (especially if deep and symmetrical) and an alternative cause has not been established, a definitive study such as an angiogram or perhaps a cardiac ct angiogram would be most frequently recommended. ...Read more
How do I get my dr to take me serious, 30f bad medical history. A kid fail, endocardutis, blood clots, angina? Pcp says echo and stress test abnormal help
Get a new doctor: If you have lost trust in your doctor you should find another one. A trusting relationship works both ways. If you are not happy with the reponse you have gotten then you should look for a new doctor. ...Read more
I have several EKGs, X-rays, blood test and one stress test. Can I still have an angina pectoris or heart disease?
When stressed I get chest pain going to left arm and neck. Had echo, echo, stress test all clear. I'm 25, could this be prinzmetal angina?
Could I have angina at 25? Chest pain when walking sometimes in back and goes away when sitting. I've had stress test, MRI, echos, treadmill. All clea
Dr suggested angina, stress test required. Menopausal symptoms. Low blood pressure. Raynauds phemonom. What type of angina would I most likely have?
?: I'm really not sure what you have in mind. Unless you smoke or have diabetes, I'll bet you don't have angina at all! You need a stress test to see if you have evidence of coronary artery disease and to help determine if you really do have angina or not. ("angina" just means the symptom that arises from inadequate circulation to the heart muscle.) ...Read more
How accurate is a EKG, blood, and a stress test to rule out heart issues or angina? I'm 26, overweight, healthy but worry my gerd chest pains is my heart. My troponin I levels were < 0.02. My bp is sometimes elevated and heartrate goes down to 53bpm.
Highly accurate: The combination of those 3 being negative, in your age category are reassuring and make the chance of a fatal cardiac condition being under 10% and likely less than that. A lower heartrate is not a bad thing. I would recommend weight loss and increased diet and exercise. ...Read more
I'm 28 and don't smoke. Can I still have an AFib or Angina if my EKG, chest X-ray, blood, and stress test came back normal? One EKG showed abnormal heart rhythm but 4 others (taken within 5 month span) showed normal heart rhythm. I'm really scared.
I get angina symptoms but the doctors say that my heart is fine. Small vessel disease showed up in stress test, CTA, x-ray, echo and EKG. I have 10 lesions in my brain and they're trying to rule out MS but would they miss SVD in MRI?
No, if done correct: Both stress test with radiotracer (nuclear stress test) and cardiac MRI with contrast can have findings that correlate with small vessel disease. If a nuclear stress test is definitely positive, the CTA negative and the person has typical anginal symptoms; they more likely have small vessel disease than anything else. Chest pain on a treadmill remains the most reliable indicator for true angina. ...Read more
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
"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
Does chest heaviness and throat pain during stress test with no ECG changes mean its negative or posative normal hr and BP response?
2nd test: An inconclusive test is inconclusive because they can't say for sure that it's negative or positive. You need to have a second test, preferable using a different technique, to be certain that it's actually negative. ...Read more
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
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
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
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
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