How do they diagnose acute coronary syndrome? . I've had a heart ultra sound EKG and stress test. Every time I work out I get horrible chest pains.

Chest pain. Symptoms and signs are reviewed and lead to testing and lead to diagnosis. Some require cardiac cath even after the other testing.

Related Questions

I've had chest pain and heart palps pretty much for a mnty. Ekg. Ultra sound -stress test and blood all neg. Dr suggests beta blockers. Appropriate?

Possibly. A beta blocker might be appropriate if ones heart rate is rapid or if one has premature beats or runs of tachycardia. However, more important is to ask what the underlying problem is causing chest pain and palpitations. A careful evaluation includes blood tests, especially the TSH thyroid test, blood counts for anemia and infection, and a thorough history and physical exam. Read more...

Why do I get chest pains when my heart test come back normal such as ekg and stress test and ultrasound on heart. What other tests should I have?

You gave the answer. There are at least 15 different things that can cause "chest pains" other than your heart or ischemic heart disease. You indicate in your history that you have painful joints and arthritis and joint pain. It is highly likely that one of the more than 20 joints in your chest is arthritic and causing your pain. Be thankful your heart tests are normal. See a rheumatologist rather than a cardiologist. Read more...

6 ekgs, x ray, ultrasound and stress test all come back normal in the past 6 months but I still sometimes get chest pains. Heart problem or anxiety?

Anxiety. Don't you have a good family doctor? That is a lot of tests and wasted energy directed at what is not your problem. Young people especially still learning how to operate in this big world often carry their stress in their chest. This leads to shortness of breath, muscles spasms in the chest wall and rib cage and should be addressed with natural methods of stress reductions including breathing. Read more...

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?

Clarify w/Dr. If the dr (/?Cardiologist?) who did your stress test & echo feels comfortable, he/she may advise you that the source of your symptoms is not coming from your heart. In that case, for your age, if no other ongoing medical conditions, most likely is musculo-skeletal and should improve w/nsaids and time. Read more...
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...
Physical exam. There are many causes of chest pain. For someone 18 years old athletic activities involving repetitive arm motion can cause pectoralis minor muscle inflammation. This is more likely in someone 18 than heart disease. Consultation with a primary care doctor can help sort this out. Read more...

After good stress test, ECG, ultra sound on heart, I still have chest and back pain, heart beat and tiredness around 7-8 times in the last month. Why?

Symptoms. Devil is in the details, a "good"stress test does not exclude cardiac disease. Active persistent symptoms require ongoing further evaluation and consideration of non-ischemic cardiac causes as well as consideration of noncardiac etiologies. Much additional history and possible additional labs and other testing may be necessary so please see competent further evaluation or try Health Tap Concierg. Read more...

How do they diagnose acute coronary syndrome? 2nd stage of stress test my heart rate was 170. Heart ultra sound shows leaky valve. Can hardly exersise

ACS. Acute coronary syndrome (acs) is a clinical diagnosis, extremely unlikely in a 24 year old. Leaky valve does not cause acs. Depending on degree of leakage & which valve, exercise intolerance may be due to leakage. Hr of 170 during exercise could be due to deconditioning (being out of shape), arrhythmia or even anxiety. Discuss with your doctor. Read more...