Top 20 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. ...Read more

Dr. Heidi Fowler
3,139 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. ...Read more

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I had a normal echocardiogram but a abnormal nuclear stress test. I was told that a abnormal test means you have more than 70% blockages?

I had a normal echocardiogram but a abnormal nuclear stress test. I was told that a abnormal test means you have more than 70% blockages?

Physiologically,: Arterial blockages are usually not symptomatic or highly obvious on noninvasive testing until they reach 70%. The abnormal test is wrong (falsely positive) 15% of the time too so you won't know for certain without an invasive test or perhaps very high quality CT angiogram. Discuss these concerns with your health care provider to figure out what your next step should be in your evaluation. ...Read more

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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 ...Read more

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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. ...Read more

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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 ...Read more

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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. ...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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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Can panic attacks cause strokes? Had 24 holter, echocardiogram, stress test, and renal ultrasound all normal. BP can get up to 180/100 sometimes.

Can panic attacks cause strokes? Had 24 holter, echocardiogram, stress test, and renal ultrasound all normal. BP can get up to 180/100 sometimes.

Strokes: High blood pressure can cause ischemic or hemorrhagic strokes. If you experience frequent panic attacks, consult a psychiatrist for evaluation, advice and treatment. Your blood pressure may need medication to keep it from spiking. Your physician or cardiologist can advise you best about monitoring and treating hypertension. Stress management therapy and lifestyle changes may also help that. ...Read more

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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. ...Read more

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Can panic attacks cause strokes? Had 24 holter, echocardiogram, stress test, and renal ultrasound all normal. Bp can get up to 180/100 sometimes at peak of attacks with heart rate anywhere from 130 - 170 bpm. Resting 60 bpm with bp 130/84.

Not usually: In a young healthy person, a panic attack will not cause a stroke. Elevated blood pressure of 180/100 is serious if it is persistent, but is unlikely to cause any problem over short periods of time. If you have an underlying medical problem - such as brain aneurysm or coronary artery disease - then a transient elevation of blood pressure can trigger a more serious event. ...Read more

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What is the likelihood of a 27 year old female having a heart attack or arrest? Chest pains but ct, ekg, echocardiogram, and echo stress test normal?

What is the likelihood of a 27 year old female having a heart attack or arrest? Chest pains but ct, ekg, echocardiogram, and echo stress test normal?

Close to zero: The chance that a young woman has a heart attack is pretty low. Add to that a normal stress test, that makes the risk even lower. ...Read more

Dr. Hamid Sajjadi
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. Rick Koch
372 Doctors shared insights

Cardiac Echo (Definition)

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