Would a full heart check up, stress test, and and echo-cardiogram tell if you had Angina?

June 5th, 2010 by admin

I have had what seems to be a full heart examination twice, as well as smaller tests several times.

I have been repeatedly told my heart is healthy and there are no problems.

Still, I sometimes have discomfort in my chest and I need to yawn to get air.

What could this be?

Maybe angina?

Echocardiogram, though capable of detecting several heart abnormality, is more of a structural detector than functional one. The stress test gives a better idea about coronary blood flow and can detect single or multiple vessel blocks. Yet, exercise tolerance testing has a sensitivity of 70 per cent and a specificity of 80 per cent.

A more efficient test for IHD is Stress Echocardiogram. In stress echocardiography, myocardial stress (induced by exercise or drugs) may reveal areas of ischaemia not demonstrable at rest. The sensitivity and specificity of stress echocardiography for IHD are 80 per cent and 90 per cent respectively.

Well, I am only telling you about the reliability of tests for IHD. For all we know, the tests you did can fairly map out your coronary status and you have been declared fit. I feel that your "discomfort in my chest and I need to yawn to get air" looks more like an anxiety symptom than anything else. But then people with anxiety need foolproof methods to reassure them.

So, how about a Coronary Angiogram to deliver the final verdict?

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Posted in angina

6 Responses

  1. Kelle

    Maybe anxiety.
    References :

  2. RєdAиgєℓ

    Heart tests can be perfectly fine and you can have a heart attack the following week. Ask for homocysteine levels to be checked. This is one of the best indicators of your risk of heart attack and stroke. Vitamin B6, B12 and folate are essential to lower this level. Levels needs to be 6.3umol/L for low risk of serious health problems. Angina can be discomfort in the chest.

    Homocysteine – The Silent Killer
    http://www.squidoo.com/homocysteine-hcy
    References :
    i have a homocysteine test every 6 months

  3. techman

    you would know for sure if you had angina. Anyway what you describe is a breathing difficulty and the two are not directly related.. Try standing tall and breathing in with your hands over either side of your stomach, middle fingers just touching. Breath in deeply to make them expand a bit.(yes the stomach)
    This type of breathing is much better quality than chest breathing because it’s deep. Hold the breath and then slowly exhale.
    By the way the heart exam is a good thing to do but is not in itself 100% . I have known one or two people who have had all that and weeks later had a heart attch.
    References :

  4. Queryman

    Echocardiogram, though capable of detecting several heart abnormality, is more of a structural detector than functional one. The stress test gives a better idea about coronary blood flow and can detect single or multiple vessel blocks. Yet, exercise tolerance testing has a sensitivity of 70 per cent and a specificity of 80 per cent.

    A more efficient test for IHD is Stress Echocardiogram. In stress echocardiography, myocardial stress (induced by exercise or drugs) may reveal areas of ischaemia not demonstrable at rest. The sensitivity and specificity of stress echocardiography for IHD are 80 per cent and 90 per cent respectively.

    Well, I am only telling you about the reliability of tests for IHD. For all we know, the tests you did can fairly map out your coronary status and you have been declared fit. I feel that your "discomfort in my chest and I need to yawn to get air" looks more like an anxiety symptom than anything else. But then people with anxiety need foolproof methods to reassure them.

    So, how about a Coronary Angiogram to deliver the final verdict?
    References :
    An Internist

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