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Doctor insights on: Why Should I Have A Stress Test If My Echocardiogram Is Normal

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Chest pains! Xray, CT scan, bloodwork, holter monitor, echocardiogram, echo stress test and EKG normal?! what can it be? Pain don't get worse when pressed

Chest pains! Xray, CT scan, bloodwork, holter monitor, echocardiogram, echo stress test and EKG normal?! what can it be? Pain don't get worse when pressed

Esophageal spsm/GERD: All the tests you have had it rules out heart or lung pathology. It can be due to esophageal spasm, gastroesophageal reflux with or without esophagitis or due to costochondritis.Get a gastro enterolist consult and endoscopy to rule out GI causes or a trial of ppis like Omeprazole etc. Costochondritis may respond to non steroidal meds like Naproxen sodium.

Dr. Heidi Fowler
3,122 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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Are the following results good & what do they signify from my echocardiogram? Health/mental stress test is normal, resistance stress is low.

Are the following results good & what do they signify from my echocardiogram? Health/mental stress test is normal, resistance stress is low.

Don't Understand: The types of stress listed in the question are unclear to me. Usually an echocardiogram is done at rest, and sometimes at cardiac stress, with exercise, or more commonly, with a medicine to increase cardiac workload.

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24 yr old not an athlete male. Bpm at rest is usually on low 40s, got an echocardiogram and a stress test & normal. I'm scared should I worry?

24 yr old not an athlete male. Bpm at rest is usually on low 40s, got an echocardiogram and a stress test & normal. I'm scared should I worry?

No, not yet.: Those who have made a habit of exercise & are very fit often have low resting heart rates (in the 40s, sometime the 30s). If you are NOT fit, & a resting heart rate this low, you must have symptoms. You could have an underactive thyroid, high blood pressure, or other chronic condition. Talk to your doctor & get checked out with an exam & blood tests (if needed) to get to a diagnosis. You have time

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I have severe anxiety. If my ekg, stress test, and 2 echocardiograms came back normal, is there a chance at all that my palpitations could be serious?

I have severe anxiety. If my ekg, stress test, and 2 echocardiograms came back normal, is there a chance at all that my palpitations could be serious?

Holter 24 hour test: The starting point is a 24 hour holter monitor and some blood work (thyroid profile, electrolytes). Often times palpitations are benign and may be seen in the setting of caffeine or other stimulant use or withdrawal from short acting benzodiazepines. I hope this is helpful information.

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Sensation of palpitations/flutters, daily, 5-10 times per day. EKG, 2-week Holter, Echocardiogram, stress test -all normal -what could it be?

Sensation of palpitations/flutters, daily, 5-10 times per day. EKG, 2-week Holter, Echocardiogram, stress test -all normal -what could it be?

Panic Attack: See another doctor for a different view point. Family physicians and specialist in mental health/psych may be useful after all physical ailments are ruled out.
Just a thought

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If my echocardiogram, ekg, and stress test, all came back normal, could doing activities that raise my heart rate by 20-100 percent be harmful?

If my echocardiogram, ekg, and stress test, all came back normal, could doing activities that raise my heart rate by 20-100 percent be harmful?

Normal studies: The probability is in favor of exercise being quite safe for someone with the normal findings you list. Having said that, without knowing anything else about you, something else could be present which would invalidate that prediction.

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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!

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How dangerous could atrial fibrillation be in a healthy, very fit 18 year old with no other problems? Normal echocardiogram, ekg, and stress test

How dangerous could atrial fibrillation be in a healthy, very fit 18 year old with no other problems? Normal echocardiogram, ekg, and stress test

Not likely: Atrial fibrillation is not as common in young individuals as in elderly. Sometimes benign arrhythmias are over diagnosed as atrial fibrillation. In your case how was your atrial fibrillation diagnosed? Otherwise atrial fibrillation remains a significant medical condition with a variety of possible complications, the most common being stroke.

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Shortness of breath with slight chest pain. Normal EKG stress test 02 sat 99% echocardiogram and blood levels. What can it be?

Shortness of breath with slight chest pain. Normal EKG stress test 02 sat 99% echocardiogram and blood levels. What can it be?

Anxiety?: These are common symptoms seen with anxiety. You don't have to have anxiety disorder per say, but an event or circumstance that may be causing more stress than usual. Sometimes the stress is internalized can manifest with shortness of breath, chest pain, and rapid heart rate. Try some meditation (aka "mindfulness") and see if that helps! Also, follow your doctor's instructions.

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I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?

I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?

Zero: There's no chance for blockage. If your pulmonary artery pressure was reported on your echo, than there's no chance that's been missed either.

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Why would I see the vein sticking out only on left side of neck? Normal EKG, stress test and echocardiogram in Feb. And normal u/s of carotids in April.

Why would I see the vein sticking out only on left side of neck? Normal EKG, stress test and echocardiogram in Feb. And normal u/s of carotids in April.

It can be: Normal to have asymmetry in size of the jugular veins. However, if this represents a change from your normal appearance, see your doctor, because it could be a sign of obstructed venous flow. This would be very unlikely if you have no other symptoms, however.

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Sharp chest pains! EKG echo stress test echocardiogram and CT all normal what could it be I'm scared it hurts real bad?

See below: Probably ruled out serious causes. Is this pain tender to touch? Is it worse when you take a deep breath?

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+ ANA x 2 decreased lung gas exchange now I have to have a echocardiogram &six minute walk stress test. Ena labs normal. What is walk test for? No dx

+ ANA x 2 decreased lung gas exchange now I have to have a echocardiogram &six minute walk stress test. Ena labs normal. What is walk test for? No dx

Sounds like: Sounds like you are being evaluated for pulmonary hypertension which is where you have elevated blood pressure between your heart and lungs. This can be associated ANA autoimmune diseases. The six minute walk is to see if your oxygen levels drop with exertion on the lungs.

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Chest pains! Xray, CT scan, bloodwork, holter monitor, echocardiogram, echo stress test and EKG normal?! what can it be? Pain don't get worse when pressed

Esophageal spsm/GERD: All the tests you have had it rules out heart or lung pathology. It can be due to esophageal spasm, gastroesophageal reflux with or without esophagitis or due to costochondritis.Get a gastro enterolist consult and endoscopy to rule out GI causes or a trial of ppis like Omeprazole etc. Costochondritis may respond to non steroidal meds like Naproxen sodium.

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Hi I'm 29 year male I had pain in upper abdomen and near left rib I had ecg 5 to 6 times normal, stress test negative, echocardiography normal, ?

Hi I'm 29 year male I had pain in upper abdomen and near left rib I had ecg 5 to 6 times normal, stress test negative, echocardiography normal, ?

Just a thought: But you may have "splenic flexure syndrome" caused by intestinal gas collecting in the "highest" portion of your large intestine which is the part that CURVES under your spleen. Way up almost under the left side of your rib cage! Just gas!!!! (If exercising...running makes it worse...that may be a clue that this diagnosis is correct! (See X (between 2 and 3 illustration) Hope this helps! Dr Z

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Should everyone have a stress test and how long are test like stress, echocardiograms and angiograms good for? I had this complete work-up in 2008 and the impression was no visible coronary heart disease. Yet said the patient does have diastolic dysfunc

Should everyone have a stress test and how long are test like stress, echocardiograms and angiograms good for? I had this complete work-up in 2008 and the impression was no visible coronary heart disease. Yet said the patient does have diastolic dysfunc

Not everyone needs: Stress test echocardiograms and angiograms give a lot of information but do not predict everybody who goes on to have disease. Not everyone has a gradual reduction in vessel size. Some people will form a clot that can occurr in minutes leading to heart attack. Keep cholesterol's under control, blood pressure monitored, diabetes treated, don't smoke and keep your weight down and should be ok.

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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. Rick Koch
370 Doctors shared insights

Cardiac Echo (Definition)

"shorthand" term for echocardiogram, an ...Read more