How effective are exercise stress tests at diagnosing heart disease?

85 - 90 % If the stress test is combined with nuclear imaging, the sensitivity for picking up on coronary artery disease is 85-90%. If the stress test is done without imaging, the sensitivity is less. In interpreting stress test results, it is important to note the "pretest likelihood of disease". In a young healthy patient, a positive result is likely to be a false positive.

Related Questions

Stress test is positive for exercise inducted ischemic heart disease. What does this mean?

Positive stress. A stress test is generally done to determine if heart disease symptoms are related to actual heart disease. Sometimes people at risk for heart disease, but being prepared for stressful procedures like surgery, will have a stress test done. If a stress test suggests ischemic heart disease, generally, further evaluation, like a heart cath, should be done to confirm its presence. Read more...

If you have a family history for heart disease, should you have a stress test regularly?

Discuss with your Dr. Being cautious is the way to go and helping yourself be more proactive and preventative can only guide you in the right direction. Checking your heart heath is vital, but if in doubt as to annual stress tests, seek more than one opinion. Read more...

How accurate is a stress echo test? Checking. For heart disease and blockages? Is it efficient?

A good test. But it is only suggestive and cannot tell you whether you have any coronary artery disease. It does give great information about heart size, function, and generalized blood flow under physical stress but does not define the anatomy of the coronary artery system. At your age and without congenital heart disease would doubt there is a serious issue. Read more...

Although I have several signs of heart disease and a positive stress test, I feel totally denial about it. I cant accept it. Is this common?

Denial. Denial is a very common emotion whether heart disease or other. You should talk with your doctor and gain a good understanding of what your heart problem is and what needs to be done about by you and by the Doc. If you can get yourself involved actively in taking care of yourself and trying to improve your situation, the denial could be turned into a positive force for life improvement and health. Read more...

Cardio ruled out heart disease, norm stress test&echo. I have minimal to no risks factors &no fam hist. Non-smoker. Male Age29.Is MI/HD rare for my age?

Minimal risk factors. You are low risk for cardiovascular disease. Continue health habits of good diet, exercise, relaxation and count your blessings. Read more...
Heart. with no family history of early MI,s normal echo/stress test less likely hood of heart disease in your age----unless you take street drugs like cocaine or methamphetamine. most likely cause of chest pain in your age is --posture---with inter-costal rib pain--- or gastric reflux symptoms----another cause can be IBS--with spastesity of the colon especially the splenic flexture of the large colon. Read more...
Yes. Yes, unless you are a fragile type I diabetic on dialysis, MI is rare in your age group. There are still men your age who do have sudden cardiac death and it is most often due to use of methamphetamine or cocaine, an inherited electrical issue with the heart itself, or other congenital malformations which would have been detected on echo and during your stress test.Most can seen on a 12 lead.Relax. Read more...
Rare but can happen. Hi, Absence of risk factors and normal stress test and echo put you at a low-risk for CHD and MI. However some individuals are predisposed to spasms of heart arteries induced by factors such as cocaine and/or stimulant use, severe stress/anxiety/panic, and presence of certain inflammatory diseases. Such vasospasms may lead to heart muscle damage, i.e. heart disease including MI, as well. Read more...

I had a stress test. The doctor said I have coronary heart disease but he wants to do the ink test to be for sure. So do I have the disease?

Uncertain. Depending on what type of stress test you had, and the degree of abnormality, the rates of false positive tests will vary. The angiogram is a way to definitely answer your question. Read more...
Possible. Stress has some false positives, so another test is important. ? Ink? Do, you mean catheterization imaging? Read more...

I have recently had a stress test and been diagnosed with signes of heart disease/blockage I am on 40 mg statins' what herbal supplementvcan you advis?

CoQ10 ; O-3's! Coq10 is a great anti-oxidant that can helps prevent muscle pain that can be caused by high-dose statins. I am + for the slco1b1 (statin myopathy gene) so i take 60mg bid. With cardiac risk, also good to take flaxseed oil 1g 2 in am, and epa/dha essentials 2 in pm (i prefer pure encapsulations brand--pharmacy grade products). Most supplements do not have what they claim they do--not worth buying. Read more...