Stress test or heart cath for beter results?

Low vs ?Higher Value. Stress tests only capable of detecting very advanced disease, ?chances of heart attack & do nothing to solve issues (i quit doing these 1995). Angiogram with PTCA option has risks (usually small) but can see problems & offers opportunity to open arteries & decrease symptoms at same time. The bigger issues are optimizing lipoproteins (nmr particle test), hba1c & bp, etc. To ??? disease progression.
Different info/risk. In a stress test, you have an echocardiogram (sound wave test to evaluate the muscle squeeze, valve function, etc), you exercise, and then get re-echo'd to see if the heart acts differently at peak activity. A heart cath or angiogram involves placing a catheter in the groin, feeding it up to the big vessels that lead into the heart, and injecting contrast to assess blockages. More risk, more info.

Related Questions

Why do a stress test what dose it shows is it same as heart cath?

A stress test. Will give information about the physiologic response to the physical challenge of exercise. This is probably more important than the underlying anatomy. Read more...

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...

Had nuclear stress test. Mod.-sized mostly reversible inferoseptal left ventricular hypo perfusion defect. Do u think I need a heart cath?

Probably yes. Reversibility on a nuclear stress test indicates ischemia (low blood flow to a region due to coronary blockage). The inferoseptal distribition is most commonly a branch of the right coronary artery. Sometimes a defect in the inferior wall is an imaging artifact (not due to blockage). A heart catheterization or a cardiac ct angiogram will provide information if findings reflect coronary blockage. Read more...

46 yr old. Normal nuclear stress test 2011, norm exercise test 2012, 6/6/13 no blockages seen on heart cath. Do I have to worry about heart attack?

Not very much. But keep, on track with diet, exercize, become a non smoker, blood pressure monitoring and control. Read more...
Heart cath. The answer lies in why you had a heart cath if all of your non-invasive studies were truly normal. I suspect that there were abnormalities that prompted the cath. Read more...

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. Your 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...

Should I do the nuclear stress test and echo or just go straight to heart cath? Shortness of breath with exertion not so much with cardio activity. Y?

Depends. Without knowing your medical history and current risk factors, it would be difficult to recommend which test for you. The best advice is to follow your doctor's recommendation. Read more...
Risk. The risk factor for artery disease are nicotine addiction, hypertension, hyperlipidemia, diabetes and family history of artery disease. If your doctor is giving you a choice go for the heart cath, it gives more information. Be well. Read more...