Does a failed exercise stress test mean that I need an angiogram and angioplasty?

Doctor's Answers 1

It depends on what you mean by a “failed “exercise test.

When cardiologists report an exercise test, we usually look at many factors such as:

  1. Does your heart rate and blood pressure go up appropriately with exercise
  2. How far you are able to exercise (time and distance)
  3. What symptoms you get during the exercise and
  4. If there are any ECG changes during the treadmill test

A change in any of these factors will be classed as a “positive” test through there are formal scores such as “Duke Treadmill Score” which is a weighted index and helps to predict the risk of ischemic heart disease (ie coronary disease or blockages in heart blood vessels).

Similar Questions

What are the latest advancements in heart stent insertion and angioplasty technology?

There have been many improvements in stent technology but one of the noteworthy changes have been the ability to image better inside the arteries. This is a technique called OCT or Optical Coherence tomography which helps us to visualize upto 20 microns ie almost see the vessel live. This makes it easier to see the fat accumulation inside the blood vessel and the likelihood of the plaque rupturing and if stenting is necessary. It also helps to ensure that stent placement is optimal.

Photo of Dr Nandakumar Ramasami

Answered By

Dr Nandakumar Ramasami

Cardiologist

How safe is an angioplasty, and what are the main risks of having an angiogram and angioplasty in Singapore?

Angioplasties are very safe in this day and age with modern medicine and technological advancements.

Photo of Dr Julian Tan

Answered By

Dr Julian Tan

Cardiologist

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