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Stress induced heart murmur, Echo test analysis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2548 Questions
User :   How often does a stress echo test show problems when a regular echo came back normal?
Doctor :   Hi
User :   Hello
Doctor :  
about 70 % of the time the stress test will show up the problems when regular is normal
User :   Ok.. so since my resting echo came back fine there still can be some problems?? Im a 22yr old female i weight about 112 and pretty active
Doctor :   ok
User :   I was told i have a sytolic heart murmur but only 1 doctor out of 4 have heard it?
Doctor :  
User :   So I was just wondering if i could still have problems XXXXXXXX know my ekg blood work and resting echo came back fine
Doctor :  
what symptoms do you have ?
User :   Well i have shortness of breath, heart racing, light headed, sharp chest pains underneath my left arm and under my left breath but all these symptoms are only occasionally and they say it is panic attacks?
Doctor :  
Doctor :  
when do you get those symptoms?
User :   Mostly @ night when i lay down
Doctor :   ok
User :   But only happen occasionally not XXXXXXXXry day
Doctor :   ok
Doctor :   and all your preliminary investigations like blood work up, resting echo, ekg all have come normal
User :   Yep
Doctor :  
with your age and gender and being all the investigations normal it is very unlikely that you have a serious heart disease
Doctor :  
it seems more so a panic attack
User :   K good.. Its killing me though cuz my stress echo isnt until next thursday
Doctor :   ok
Doctor :   are you on any medications now?
User :   lexapro and nexium
Doctor :   do you have heartburn symptoms, or acidity problem?

User :   Yea.. acid reflux is what they say it is...
Doctor :  
did you get an upper GI endoscopy done?
User :   Nope
Doctor :   how is your symptoms after lexapro has started
User :   Better.. dont have problems unless i really worry about something like this heart thing
Doctor :  
Doctor :  
so lexapro is effective in you
User :   Yea
Doctor :   it is the drug given in anxiety disorder
User :   Yes
Doctor :  
if it is working means what symptoms you are having is because of anxiety only
User :   Yea.. Im just nervous I guess lol
Doctor :  
and as such no serious heart disease exist
User :   I guess its because he said i had that systolic murmur and i read about them on the internet... He told me not to worry about it though.. So maybe it is innocent
Doctor :  
no symptoms, no disease found out in the resting stage only cardiologist has heard the murmur so it is innocent murmur
Doctor :  
and innocent murmur is heard in about 30% of the subjects who are otherwise normal
User :   Thanks For your help..
Doctor :  
please fill the feed back form
Doctor :   is there anything else i can help you with?
Doctor :  
after you get an stress echo test done, if you still have any doubt you can get a second opinion from our superspecalist cardiologist
Doctor :   for more information you can visit our website home page and look for the specialist second opinion
Doctor :   thank you for consulting healthcare magic
Doctor :  
bye for now
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