Stress test vs cath
Common Questions and Answers about Stress test vs cath
stress-test
I recently took a treadmill stress test and nuclear stress test. Basically, the conclusions are that I have: 1) moderate size inferior ischemia 2) LVEF is 56% 3) ECG is positive for ischemia at a good workload.
No chest pains, no arrhythmia.
I've research the Internet and have reached a tentative first impression, but would appreciate any professional feedback on the above three conclusions.
I am being scheduled for a heart catheterization.
Thank you.
I have only had the nuke stress test and am not going with the cath, but considering CT consultation at more cutting edge place for that. What advantage would there be in following the nuke with most advanced CT? I'm not thinking about confirmation of CAD so much as extent on the walls and what it would mean to get take on the more big event factor of soft plaque inside. My cardiol says he doesn't see how it would make a difference in treatment.
Findings : Stress LV EF is 60% Stress EDV is 80mL and ESV 32mL Impression: Anterior wall ischema. Anterior apical wall infarct. No segmented wall motion abnormalities. What does this mean? Had two stents 2 years ago. I am thinking asking for heart cath? Dr. put me on Plavix after this. Going back in a week to ask follow up questions.
I recently had an abnormal thallium test showing inferior-apical ischemia. Calcium score was zero. My cardiologist considers the thallium test a false positive. I also have an unrelated arrythmia (pvc's) for the past 10 years controlled with atenolol. I am considered high risk for cardiac cath due to the arrythmia. In addition I have mild plaque in both carotid arteries.
I have A Fib and I could not do the stress test with the treadmill so the doctor wants to give me an injection (dobuytamine hcl/250 and sestamibi(2) in order to race my heart to get it up to a certain speed and I am concerned since I have the A. Fib and take medication for it (Diltazam). Is it dangerous for me to have the test??
To clarify, I did undergo a nuclear stress test prior to my heart cath. The stress test indicated there was blockage in one of the arteries. So I was stunned when I was told that I was a false positive and there was no blockage! I thought that a stress test was more reliable! I think my physician was being extra cautious because I have diabetes and because my father died of a massive heart attack at the age of 54.
I guess I am now trying to figure out what do I do now?
s why they are doing the cath. I have no blockages yet have EF 17% and stress test images show severe damage and restricted perfusion. If it is a blockage, and they can stent it, you should be pretty much back to "normal" shortly after.
Disclaimer: I am NOT a doctor. Do not rely on my opinion or advise. Consult a licensed professional. Batteries not included. Some assembly required. Oh, and just for fun, ask your cardiologist if his work comes with a lifetime warranty!
They referred me to my Cardiologist and he ran a stress test, not the tredmill but the other one. This was done about 3 months ago was told nothing showed up. Went back to cardiologist last week and explained to him the chest pain i was having constantly daily and having to use Nitro Spray. Last week i underwent a heart cath. Expecting a few minor blockages, not 100%, 85%, 75% and 30% in a stent. Now I am set for open heart surgery next week.
The EKG and echo showed an arrhythmia and premature contractions. Since I was still having symptoms they did a nuclear stress test. The scans showed a "significant" blockage, but I was able to run on the treadmill for 13 minutes, which the doctor says would be impossible with that kind of blockage. He says he would be very shocked if there was that kind of blockage. He has scheduled me for a heart cath next week and I am trying to figure out what to do.
Another cath 6 months ago after reporting additional symptoms w/ no stints but additional narrowing of several cardiac arteries. Doc said it could be esophageal spasms but ordered stress test and follow-up every six months for two years. Stress test scheduled for next Weds with follow up appt in early December. Problem: Following last stress test, began walking 1.
How long has it been since the last cath and the stents were put in?
Given the family background and an abnormal stress test, a heart cath would serve to give you and the doctor a good view of your cardiac arteries and also serve as a reference point if further work needs to be done. I suggest you put away your fears by doing some research, you will find the procedure is very safe, and proceed with confidence. Believe me, plaque buildup is serious stuff, and the procedure is very safe.
I'm a 34 year old female with a few concerns about my nuclear stress test, echo and cardiac catheterization discrepancies. A brief background on why I was given these test:
I was admitted in the hospital for chest discomfort and an abnormal Ekg. I was placed on zocor, Metoprolol and nitroglycerin patch while hospitalized. The first night I wasnt feeling well woke up at 1 am with the sweats and chest discomfort.
First off, you really need to stop smoking, it is the most important risk factor and you control it. Here's what I can tell you based on what I know. A mild anterior reversibility means you have an area of your heart that does not get enough blood under stress but does when resting, this is usually the result of a blockage. Normally with that result your doctor would do a cath to confirm, what was his comment?
Update... We have followed up with the Cardiologist that did my husband stress test that should the abnormality. He now state that they will do more blood work (CRP, homocystine, LpA, expanded, lipids); if that shows any thing ...he will a nuclear stress test. He also has a scheduled appointment with another Cardiologist for a second opinion.
I am a 72 year old male, overweight with diabetes and kidney disease among other problems. I recently had a stress test with the following results:"Evidence for a mild ischemia in the basal anterolateral wall, probably within the distribution of the left circumflex. No evidence in other vascular territory. Normal resting left ventricular systolic function with normal heart size, non transient ischemic dilation, calculated ejection fraction of 59%, with no wall motion abnormalities.
I recently had a Positive EKG/Cardiolyte IV Stress Test. I then had the Heart Cath that proved the Stress Test false positive. This happened exactly the same 4 yrs. ago. Both times this was indicated because of chest pain. I do have the common risk factors: High BP & cholesterol (contolled with Meds) & heredity. What next? Why do I still have chest pain?
I have had chest pressure and shortness if breath so was scheduled for a stress test with vasodilator,. It showed a medium to large moderate
intensity partially reversible defect involving all apical segments and
extending into true apex and the mid anteroseptum. This is larger than on
the prior study done in 2017. The defect is only partially reversible
with SDS score of 4.
Wall motion post stress is severely hypokinetic in the apex, with gated EF of 51%.
I have had one stent (non-medicated) after a minor heart incident 7 years ago. A recent stress stest showed some new abnormality. I really do not have many if any symptoms - other than some occasional pain (very infrequent) and occasional cold hands.
My doctor is recommending the cardiac cath - but he indicates that the statistics don't increase that greatly with having a cath and possible stent insertion.
The question is to have a cardiac cath or not? Or is medication sufficient?
Usually a cath procedure is done after a stress test to open any blocked vessels discovered with a stress test as well as measure any gradient pressures and intra-chamber, vessel pressures, etc.!. Are you having chest pains that can not be relieved with medication? Pain with exertion and relief with rest?
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