Thank you so informative my cardiologist's office didn't explain this at all to me and I'm going in today for a test so I'm grateful for your explanation
@Chris Kelly- A nuclear stress test was ordered for March after an abnormal stress test today. I am nervous about the nuclear stress test. any words of reassurance? I guess I am nervous about getting medicine injected to increase my heart rate but I am able to use the treadmill. Do they only inject the medicine if a person cannot exercise on the treadmill?
Some questions I have after watching this great video: 1. My understanding that the 11mSv for a stress test is usually for a single dose. In my experience most stress tests do a double dose (at rest and then again when stressed - as you mentioned). In that case the exposure is trending toward 15-20mSv. Could you confirm this? When I asked at my regular nuclear stress test (no major abnormalities - just some chest pain) they said I received 44milliCuries in dosing in total which seems to be around 20mSv when converted. 2. Radiation exposure also depends on the type of tracer. Most seem to use Tc-99m (what I got) but looks like Thallium-based agent can also be done which is higher effective radiation. 3. Some stress test imagers also do a calcium CT scan which adds additional radiation exposure (~
Very informative video. You have me concerned about the radiation exposure. I’m going to take about 6 or 7 of these . They are required annually for my job. Is this truly dangerous?
Thanks for this video. Very informative. In particular, the radiation part was very interesting. I was diagnosed with TTP less than a year ago, and I had to do several CT scans, nuclear lung tests, MRI scans, x-rays, etc. because I was in critical condition. And I have a stress test coming up. These tests saved my life, but who knows what's all this radiation is going to do in the future.
@@johnb4183 hi! It ended up being an exercise stress test. The cardiologist said no imaging exactly because of the radiation risk. He said I should go back if I show more symptoms which fortunately wasn't the case.
Hi I’m really nervous about this I been putting it off for months I got one this Thursday I been having bad chest pains been to the hospital done X-ray said they didn’t see anything so they told me to go to dr Hager and he wants a nuclear stress test done I get chest pains a lot allmost a daily thing I sometimes get sick to my stomach or I get light beaded and I even been getting like tingling in my leg and my arms and leg fell like they are going numb I’m 23 and I had chest pains since like middle school and my dad passed away from a heart attack at 33 and heart failure runs in the family do you know what could be making my legs arms fell like there going numb ? Could it be a never somewhere ?
I've had 2 ekg done I was scheduled for a plif surgery but it was canceled because of my ekg one ekg shows anterior ischemia my other shows possible left artial enlargement and unspecified t wave changes so I'm going for a lexiscan nuclear stress test tomorrow I'm so nervous
My cardiologist specialist is also sending me for this test cause my stress test treadmill was nonspecific changes as well do i have to go to get this test done tho?
What if they only waited less than 10 minutes after each injection, should I be concerned? Also, I immediately became winded and was breathing very rapidly and when it was over I vomited. During the process I felt a lot of pressure in my neck and my arms down to my hands. Do you see anything I should be concerned about?
Hi can anyone explain this I’m so stressed out thanks in advance FINDINGS: The stress and rest images demonstrate mild fixed defect in the apical through basal inferior wall, favored to represent attenuation artifact over prior infarct (SSS: 3, SDS: 0). There is no evidence of myocardial scar or ischemia. The left ventricular ejection fraction was calculated to be 55% Wall motion is normal. The left ventricular cavity size is normal. CONCLUSION: Mild fixed defect in the inferior wall (SSS: 3, SDS: 0), favored to represent attenuation artifact over prior infarct No evidence of ischemia. Final result
Your heart findings seem to be quite good by what I've been able to learn! But Always ask your doctor to carefully explain the results to you in a layman's language! (After all, we are not trained in medicine or medical terminology!😉)
You have part of your heart missing on both your rest and stress images, but the Dr. thinks this is most likely due to an attenuation artifact because your heart wall motion is normal. Attenuation artifacts are usually caused by your bowels and liver taking up the tracer and blocking the bottom side (inferior) wall of the heart.
@@JohnnyOU08 Oh, thanks for this info! I think the same thing happened with my own imaging. My cardio doc said the very bottom of my lower chamber had a darkish spot but said he wasn't overly concerned as the results looked pretty good and that darkish spot could be just a slight shadow cast by my abdomen? And so with the results he wasn't ordering more extensive testing or any stents either.
During the first scan (after the rest injection), if it is determined the tracer did not go to all parts of your heart equally at rest, will the doctor still continue with the stress test?
You will be given a chemical stress test instead. You will be given a medicine that will dilate your blood vessels causing your blood pressure to dip slightly for a moment and your heart will compensate by beating faster like you were on a treadmill. It only lasts a few minutes and drinking a caffeinated beverage afterwards will help any symptoms you have to go away.
I had a Nuclear Stress Test in the past and the results were ok, no problem. How, several years later my cardiologist wants me to have another one, but here is my problem: "I don't want to go through that experience again". With the use of a chemical my heart rate was push to the limit. Now, I told that to the new cardiologist. In response he said that this nuclear test is new and will not increase the rate, it will not be fast. Is he telling me the truth?. It's there an alternative?.
I just had mine done Wednesday and what a rush when they put my heart in stress i hope i never have to do that again !!! When i walked out to my truck i threw up all over the parking lot
@@rickyharvey6315 Yes. And That's precisely WHY I will make sure to exercise on the treadmill to get my heart rate up! No way will I have my heart stressed by injecting a chemical!! #YIKES!
I had a chemical test today. I projectile vomited several times. Nurses told me they had never seen anybody get so sick. My arms and legs hurt tremendously, and I had a bad headache from no caffeine. I never will do that again. Now I have to wait two weeks for the results. Pure torture.
During my stress test, the young assistant kept trying to take my blood pressure. He would remove my left arm from the bar which would cause me to lose my balance. He did this three times. Each time, his supervisor told him "Don't do that!" I had an abnormal test. I only lasted 5 minutes on the treadmill.
@@ChrisKellyMD ok I am actually at the hospital now. I'm having a heart catheter done after an abnormal nuclear stress test. Cardiologist said that a small spot showed up and that it was mild to moderate. I'm scared...
@@ChrisKellyMD also I had an ECG that showed a "low probability" of a past heart attack, yet I don't remember ever even close to having a heart attack and according to my cardiologist the Nuclear Stress Test showed no indication of a past heart attack. He says he is skeptical about the ecg reading and will know for sure during the heart cath.
@@nelsonfan24 hey... I'm fine. Heart Cath was good. Stress test was a false positive and my Dr said that sometimes ppl can just have abnormal ekg. 0 blockages and the heart cath said I have 0 evidence of past heart attack. About the best results you can ask for so... Thank you for asking.
Thank you so informative my cardiologist's office didn't explain this at all to me and I'm going in today for a test so I'm grateful for your explanation
Me, too. Going in for my test in about 3 hours.
This is great, I learned a lot. thank you!
You're very welcome.
@Chris Kelly- A nuclear stress test was ordered for March after an abnormal stress test today. I am nervous about the nuclear stress test. any words of reassurance? I guess I am nervous about getting medicine injected to increase my heart rate but I am able to use the treadmill. Do they only inject the medicine if a person cannot exercise on the treadmill?
Did you get injected? An what happened
Some questions I have after watching this great video:
1. My understanding that the 11mSv for a stress test is usually for a single dose. In my experience most stress tests do a double dose (at rest and then again when stressed - as you mentioned). In that case the exposure is trending toward 15-20mSv. Could you confirm this? When I asked at my regular nuclear stress test (no major abnormalities - just some chest pain) they said I received 44milliCuries in dosing in total which seems to be around 20mSv when converted.
2. Radiation exposure also depends on the type of tracer. Most seem to use Tc-99m (what I got) but looks like Thallium-based agent can also be done which is higher effective radiation.
3. Some stress test imagers also do a calcium CT scan which adds additional radiation exposure (~
Very informative video. You have me concerned about the radiation exposure. I’m going to take about 6 or 7 of these . They are required annually for my job. Is this truly dangerous?
Annually?? No way...
You should not be having annual stress tests, period.
Thanks for this video. Very informative. In particular, the radiation part was very interesting. I was diagnosed with TTP less than a year ago, and I had to do several CT scans, nuclear lung tests, MRI scans, x-rays, etc. because I was in critical condition. And I have a stress test coming up. These tests saved my life, but who knows what's all this radiation is going to do in the future.
Hello did you have a "chemical stress test" or lexiscan ? Thanks
@@johnb4183 hi! It ended up being an exercise stress test. The cardiologist said no imaging exactly because of the radiation risk. He said I should go back if I show more symptoms which fortunately wasn't the case.
Hi I’m really nervous about this I been putting it off for months I got one this Thursday I been having bad chest pains been to the hospital done X-ray said they didn’t see anything so they told me to go to dr Hager and he wants a nuclear stress test done I get chest pains a lot allmost a daily thing I sometimes get sick to my stomach or I get light beaded and I even been getting like tingling in my leg and my arms and leg fell like they are going numb I’m 23 and I had chest pains since like middle school and my dad passed away from a heart attack at 33 and heart failure runs in the family do you know what could be making my legs arms fell like there going numb ? Could it be a never somewhere ?
Hey, Autumn. How are you doing? Did you ever get the nuclear stress test done??
I've had 2 ekg done I was scheduled for a plif surgery but it was canceled because of my ekg one ekg shows anterior ischemia my other shows possible left artial enlargement and unspecified t wave changes so I'm going for a lexiscan nuclear stress test tomorrow I'm so nervous
My cardiologist specialist is also sending me for this test cause my stress test treadmill was nonspecific changes as well do i have to go to get this test done tho?
Whole food plant based diet will get rid of plaque
Hello did you get your stress test , was it the lexiscan "chemical" stress test ?
What if they only waited less than 10 minutes after each injection, should I be concerned? Also, I immediately became winded and was breathing very rapidly and when it was over I vomited. During the process I felt a lot of pressure in my neck and my arms down to my hands. Do you see anything I should be concerned about?
Hello did you have a " chemical "stress / lexiscan ? Thanks
What is the difference of at stress test and doubler and a stress test with electronic activity stress test?
Do a CIMT and Calcium Score Test first before doing a Angiogram test.
Hi can anyone explain this I’m so stressed out thanks in advance FINDINGS:
The stress and rest images demonstrate mild fixed defect in
the apical through basal inferior wall, favored to represent
attenuation artifact over prior infarct (SSS: 3, SDS: 0).
There is no evidence of myocardial scar or ischemia.
The left ventricular ejection fraction was calculated to be 55%
Wall motion is normal.
The left ventricular cavity size is normal.
CONCLUSION:
Mild fixed defect in the inferior wall (SSS: 3, SDS: 0), favored
to represent attenuation artifact over prior infarct
No evidence of ischemia.
Final result
Whole food plant based diet can help reduce plaque
Your heart findings seem to be quite good by what I've been able to learn! But Always ask your doctor to carefully explain the results to you in a layman's language! (After all, we are not trained in medicine or medical terminology!😉)
You have part of your heart missing on both your rest and stress images, but the Dr. thinks this is most likely due to an attenuation artifact because your heart wall motion is normal. Attenuation artifacts are usually caused by your bowels and liver taking up the tracer and blocking the bottom side (inferior) wall of the heart.
@@JohnnyOU08 Oh, thanks for this info! I think the same thing happened with my own imaging. My cardio doc said the very bottom of my lower chamber had a darkish spot but said he wasn't overly concerned as the results looked pretty good and that darkish spot could be just a slight shadow cast by my abdomen? And so with the results he wasn't ordering more extensive testing or any stents either.
What happens during a nuclear stress test with a person with a pacemaker is the test given the same
How does the nuclear stress test work on people with A-fib
5 stars! ⭐⭐⭐⭐⭐
During the first scan (after the rest injection), if it is determined the tracer did not go to all parts of your heart equally at rest, will the doctor still continue with the stress test?
Can you clear a blocked artery without surgery
What if you have knee problems and have a hard time walking fast, is there another thing besides walking on treadmill....maybe a bike?
You will be given a chemical stress test instead. You will be given a medicine that will dilate your blood vessels causing your blood pressure to dip slightly for a moment and your heart will compensate by beating faster like you were on a treadmill. It only lasts a few minutes and drinking a caffeinated beverage afterwards will help any symptoms you have to go away.
Excellent explanation.
Martínez Jose
Had it done ,wish I never had it done .
Thanks for sharing Dr. 👍🏽👍🏽
What about the treadmill part?
I had a Nuclear Stress Test in the past and the results were ok, no problem. How, several years later my cardiologist wants me to have another one, but here is my problem: "I don't want to go through that experience again". With the use of a chemical my heart rate was push to the limit. Now, I told that to the new cardiologist. In response he said that this nuclear test is new and will not increase the rate, it will not be fast. Is he telling me the truth?. It's there an alternative?.
I just had mine done Wednesday and what a rush when they put my heart in stress i hope i never have to do that again !!! When i walked out to my truck i threw up all over the parking lot
@@rickyharvey6315 Yes. And That's precisely WHY I will make sure to exercise on the treadmill to get my heart rate up! No way will I have my heart stressed by injecting a chemical!! #YIKES!
Lexiscan "chemical" heart stress test has an FDA warning of heart attack or death. Check it out. Did you have your test ? Thanks
I had a chemical test today. I projectile vomited several times. Nurses told me they had never seen anybody get so sick. My arms and legs hurt tremendously, and I had a bad headache from no caffeine. I never will do that again. Now I have to wait two weeks for the results. Pure torture.
@@Sparrow538what were your results? Nervous of getting injection
During my stress test, the young assistant kept trying to take my blood pressure. He would remove my left arm from the bar which would cause me to lose my balance. He did this three times. Each time, his supervisor told him "Don't do that!" I had an abnormal test. I only lasted 5 minutes on the treadmill.
Thank You.
Thank you
Are you available to answer questions on here??
Yes!
@@ChrisKellyMD ok I am actually at the hospital now. I'm having a heart catheter done after an abnormal nuclear stress test. Cardiologist said that a small spot showed up and that it was mild to moderate. I'm scared...
@@ChrisKellyMD also I had an ECG that showed a "low probability" of a past heart attack, yet I don't remember ever even close to having a heart attack and according to my cardiologist the Nuclear Stress Test showed no indication of a past heart attack. He says he is skeptical about the ecg reading and will know for sure during the heart cath.
@@chad6326 How are things going for you now? Did you get any answers since you posted this? I hope all went well.
@@nelsonfan24 hey... I'm fine. Heart Cath was good. Stress test was a false positive and my Dr said that sometimes ppl can just have abnormal ekg. 0 blockages and the heart cath said I have 0 evidence of past heart attack. About the best results you can ask for so...
Thank you for asking.
Thanks
Thank you so much for discussing the radiation aspect!