HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Do These Nuclear Stress Test Results Indicate?

default
Posted on Mon, 21 Apr 2014
Question: I had a nuclear stress test and I need help with my results.
doctor
Answered by Dr. Jorge Brenes-Salazar (1 hour later)
Brief Answer: See below Detailed Answer: Dear XXXXXXX Thanks for the follow up. It seems that to start off, your heart looked a bit thick, that is what LVH means; it is common in patients with high blood pressure. Because of that, your resting ECG had non specific ST and T wave changes, which make the interpretation at peak stress less valid. The great thing is that you had nuclear images of the heart, and it did not show any evidence of blockages decreasing perfusion; the squeezing function looks great as well, and you reached In your case, I would trust more the images than the ECG. Only if your physician continues to highly suspect that the pain comes from your heart he would recommend the next step, which would be a coronary angiogram (dye through a catheter to arteries of the heart) Hope that helps, wish you the best, Dr Brenes-Salazar MD Mayo Clinic MN Cardiology
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jorge Brenes-Salazar (23 minutes later)
Thank you. I found out my brief chest pain was from my stomach and heartburn. Appreciate your quick reply.
doctor
Answered by Dr. Jorge Brenes-Salazar (0 minute later)
Brief Answer: God speed Detailed Answer: Welcome XXXXXXX wish you the best! Dr Brenes-Salazar MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jorge Brenes-Salazar (3 minutes later)
One more thing. I have heard it called, false positive ekg when the images show no blockages.
doctor
Answered by Dr. Jorge Brenes-Salazar (8 minutes later)
Brief Answer: Absolutely Detailed Answer: Yes, XXXXXXX that is the term we use, ECG is less accurate in such settings. Cheers
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jorge Brenes-Salazar (24 minutes later)
Okay thanks so much. Appreciate your help so very much.
doctor
Answered by Dr. Jorge Brenes-Salazar (0 minute later)
Brief Answer: Most welcome Detailed Answer: Warm regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Jorge Brenes-Salazar

Cardiologist

Practicing since :2007

Answered : 1198 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Do These Nuclear Stress Test Results Indicate?

Brief Answer: See below Detailed Answer: Dear XXXXXXX Thanks for the follow up. It seems that to start off, your heart looked a bit thick, that is what LVH means; it is common in patients with high blood pressure. Because of that, your resting ECG had non specific ST and T wave changes, which make the interpretation at peak stress less valid. The great thing is that you had nuclear images of the heart, and it did not show any evidence of blockages decreasing perfusion; the squeezing function looks great as well, and you reached In your case, I would trust more the images than the ECG. Only if your physician continues to highly suspect that the pain comes from your heart he would recommend the next step, which would be a coronary angiogram (dye through a catheter to arteries of the heart) Hope that helps, wish you the best, Dr Brenes-Salazar MD Mayo Clinic MN Cardiology