
What Do The Following ECHO Stress Test Reports Indicate?

I have a question about what other tests should be done with a Echo stress test as I understand this test alone cannot determine everything
Also I have read ppl have taken this test with normal results then had a heart attack
Just trying to make sure that I have done all the test required
There is no need to perform any other cardiac tests.
Detailed Answer:
Hello!
Welcome back on HCM!
I am glad that your stress echo has resulted normal!
Regarding your concern, I would explain that this is a quite reliable test to investigate for coronary artery disease.
It has a sensitivity of 80% for detecting coronary artery disease.
In clinical practice it is important correlating the patient symptomatology (chest pain characteristics), the presence of cardio-vascular risk factors (hypertension, diabetes, dyslipidemia, smoking, etc.) coupled with resting ECG and cardiac enzymes and cardiac stress test (or stress echo) in order to come into conclusions about the presence of coronary artery disease.
The most sensitive tests would be coronary angiography. But it is an invasive procedure, which imposes the patient to a lot of risks, which should be evaluated properly before performing it.
A normal stress echocardiograph gives an annual risk of 0.4-0.9% the same as for a normal stress myocardial perfusion scan. Thus, in patients with suspected coronary artery disease, a normal stress echo confers an excellent prognosis and coronary angiography can safely be avoided.
But, considering your case: your symptoms and already performed tests (which we already have discussed before), I would explain that there is nothing to worry about.
You have no coronary risk factors, your chest pain characteristics are not typical of coronary artery disease and your performed cardiac tests have resulted normal.
So, I would conclude that there is no need to perform any further cardiac tests (and impose yourself to unnecessary risks) because your heart seems to be perfectly normal.
Hope you will find this answer helpful!
I remain at your disposal whenever you have any other uncertainties!
Regards,
Dr. Iliri


You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
If you have any other questions, please do not hesitate to ask me again!
Wishing a nice weekend,
Dr. Iliri

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