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Doctor insights on: What Does It Mean If My Stress Test Is Negative For Ischemia

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

Does " no significant ischemia" mean there 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

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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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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I had a nuc stress test and dr. Told me it was negative, but I was recently declined for insurance due to mild ischemia. Is test neg? What should I do

I had a nuc stress test and dr. Told me it was negative, but I was recently declined for insurance due to mild ischemia. Is test neg? What should I do

May be artifact: Get full report from test. Some minor fixed defects are often attributed to artifact, and have no clinical significance. Check with your doc, and you may be able to challenge the insurance co decision. ...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 don't expect you to have coronary artery disease. ...Read more

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

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 the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...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

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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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If I had inferior ischemia... Stress test & echo would've showed something right?

If I had inferior ischemia... Stress test & echo would've showed something right?

Presumably.: A negative nuclear or chemical stress test should rule out ischemia with 95% confidence. Not 100% confidence, 95%. There's always the possibility for false negative results — if clinical suspicion is really high and the test is negative, more testing may still be in order to really be sure. Echo not reliable enough unless damage to the heart has already occurred. ...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 the 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 the best next step, and intervention, if any. ...Read more

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I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

Positive: This means that they did see signs of ekg changes when you reached a certain level of exertion. This would warrant further evaluation with imaging stress test or angiography-depending on cardiologist's choice. ...Read more

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What's the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

What's the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

Trust or 2nd opinion: Follow your doctors advice. If he feels there is no evidence of myocardial ischemia, and that no further testing is warranted, then either trust what he tells you or seek a second opinion. You have every right to get a second opinion if you wish, and if the 2nd opinion concurs with the first, you should not worry. ...Read more

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Stress test shows small perfusion defect along lateral wall which appears reverisable and is suspicious of ischemia 2. Mild hypothesis prior mi?

Stress test shows small perfusion defect along lateral wall which appears reverisable and is suspicious of ischemia 2. Mild hypothesis prior mi?

Imaging: Imaging tests are an indirect way of evaluating the various organ systems. Some tests provide numeric values with an attached range of 'normal values'which are meant to be a guide to be used for the clinician when correlating the test findings with the patients complaints and examination findings. Numbers can be erroneous due to technical factors or irrelevant in a specific patient (eg body size). ...Read more

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I had a stress test done and the results were mild ischemia in the basal septum. Apical thinning. Lvef of 75%. Should i be concerned?

I had a stress test done and the results were mild ischemia in the basal septum. Apical thinning. Lvef of 75%.  Should i be concerned?

Abnormal Stress Test: This test suggests abnormal blood supply to the heart itself and requires follow up with your cardiologist and additional testing at the minimum. ...Read more

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Sir can you suggest me what's the best thing to do with regards with ischemia? I undergo stress test the doctor told me it's ok.(normal)

Trust or 2nd opinion: Follow your doctors advice. If he feels there is no evidence of myocardial ischemia, and that no further testing is warranted, then either trust what he tells you or seek a second opinion. You have every right to get a second opinion if you wish, and if the 2nd opinion concurs with the first, you should not worry. ...Read more

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Normal nuclear stress test recently. Doc said I have "no ischemia" how can this be known since blockages of 65-70% are needed it trigger positiv test?

No ischemia: No ischemia does not mean that there are no blockages. Ischemia is caused by inadequate blood flow to the heart muscle leading to an adequate oxygen supply. Less significant narrowing of blood vessels may not lead to impairment of blood flow and therefore may not cause ischemia. ...Read more

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Had st depression of <1mm on stress test? I read bad things about this? So confused as it says non diagnostic for ischemia and intermediate cv risk?

Who ordered it?: There is a lot of things in a stress test to consider it diagnostic or not diagnostic. If you achieved target heart rate, underlying rythm, medications, for example.

1mm are none specific in most cases and more in a 26-year-old. How many METS did you achieve, How long did you run? Was their imaging involved.

This you need to address with you cardiologist. If not why one earth did he order it? ...Read more

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Recently had a nuclear stress test and results stated possible small focus of ischemia of the mid anterior wall. Ejection fraction 59%?

Recently had a nuclear stress test and results stated possible small focus of ischemia of the mid anterior wall. Ejection fraction 59%?

Ejection fraction nl: An ejection fraction the 59% means that the pumping function of your heart is normal. A "possible small focus of ischemia of the mid-anterior wall" can mean that when you're exercising not enough blood flow gets through to a small area of your heart. Usually a test result like that will lead to a cardiac catheterization to see if there is a significant blockage of an artery to the heart muscle. ...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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Had perantine cardio. Stress test 2 wks. Ago. Diagnosis-ischemia of apex. Had heart cath. Today. No blockages. What could be causing chestpain.?

Had perantine cardio. Stress test 2 wks. Ago. Diagnosis-ischemia of apex. Had heart cath. Today. No blockages. What could be causing chestpain.?

Chest pain: There are many possible causes of chest pain including small vessel disease which doesn't show up on angiogram but can cause perfusion image abnormalities. You should discuss your symptoms and data with the physicians who know you and get their impression of what the cause of your chest pain is. ...Read more

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Help me understand this. Stress test says t wave liability at rest t wave inversion during recovery non diagnostic for ischemia. St depression <1mm??

EKG essentially ok: Sounds like they were determining if you had narrowing of your heart arteries and if that was causing a low blood supply to your heart. Ischemia means low blood/oxygen supply to tissue (in this case the heart). When there is a low blood/oxygen supply to heart tissue ischemia can happen and a t-wave inversion can show this on EKG. ST depres can tell if you have had a heart attack, not in your case ...Read more

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Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p, no blocks, but mild elevated EDP/LBBB. EF 55%. Doc says nothing to worry about no restirctions. Y?

Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p, no blocks, but mild elevated EDP/LBBB. EF 55%. Doc says nothing to worry about no restirctions. Y?

Yes and no: EF of 55% is normal. You're breathing issues are due to diastolic dysfunction, dys-synchrony, and (by inference as there are no direct tests) small vessel CAD. You're not at risk of a classical heart attack (MI). There are no restrictions. I would vigorously treat blood pressure with an ACE inhibitor, and urge you to use a statin regardless of cholesterol level, and take 81 mg of aspirin daily. ...Read more

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Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p, no blocks, but mild elevated EDP/LBBB. Is this causing dyspnea and exercise intolerance? Help?

Stress test stated moderate to severe ischemia anterior/apical.  Heart cath says stress test false p, no blocks, but mild elevated EDP/LBBB.  Is this causing dyspnea and exercise intolerance?  Help?

Yes: Elevated EDP indicates left ventricular dysfunction. You did not report what your ejection fraction (EF) is — it's crucial. Your EDP may be elevated from systolic and/or diastolic dysfunction. Moreover, LBBB causes dys-synchrony which further compromises LV function. Both abnormalities you list will result in impaired functional capacity manifested as exercise intolerance. ...Read more

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Back in may I had a nuclear stress test results could not determine if the image was a breast artifact or something else and a PET scan was warranted . In other testing he had done the same day ischemia was found . When went for follow-up he said I did

SPECT vs. PET: On regular myocardial perfusion SPECT imaging, large breasts and large body habitus can cause attenuation artifacts. This is often avoided on cardiac PET where attenuation correction is used. If the breast shifts between stress and rest SPECT imaging, false positive for ischemia could occur. ...Read more

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Resting EKG showed minor t wave abnormalities. Poss inferior ischemia but exsersise EKG (stress test) was normal. Been having chest pain. Heart ultrasound done 1 mth ago was normal. What else to do?

Next step: Your next step would be a myocardial perfusion study also known as a "chemical stress test". Regular stress tests have been known to have false negative findings especially in females but, at your age, unless there is a strong family history or other strong risk factors you should be ok. ...Read more

Dr. Marvin Ott
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


Dr. Cynthia Thaik
1,920 doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity,an organ ,or brain which ...Read more