• 4 months ago

    Stress EKG, Stress Echo - any further tests indicated?

    I'm a 60 year old male. I've had a problem with thunderclap headaches during vigorous physical activity. One of the possible causes is coronary artery disease. I was referred to a cardiologist to assess this possibility. A stress EKG revealed a 1mm horizontal ST segment depression - once on lead V5, once on lead V6 (I think). Otherwise I think the EKG looked normal. Because of this result a stress echocardiogram was done, and this showed no indication of ischemia. No further diagnostic tests were ordered. Months later the headaches still come back after vigorous activity. Should other tests have been done to look for coronary artery disease?


  • 4 months ago

    RE: Stress EKG, Stress Echo - any further tests indicated?

    Perhaps request having a nuclear stress test performed, which is superior to a standard treadmill stress test or stress echo.

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