apollo
  • male
  • 60 Years
  • 29/01/2025

Question

Can a treadmill test, 2D echo, or ECG detect an 80% heart blockage, or is an angiogram the only way to find this out? I'm really curious because I want to understand what these tests can actually show.

Doctor 1

Answered by 1 Apollo Doctors

0% heart blockage cannot be directly traced by a treadmill test, 2D echo, or ECG. These tests can provide important information about the heart's function and structure, but they may not definitively show the extent of blockages in the coronary arteries. The gold standard for diagnosing blockages in the arteries is a coronary angiogram (angio). It is an invasive procedure where a dye is injected into the arteries to visualize any blockages. If you suspect significant blockages in your coronary arteries, it is best to consult with a cardiologist for further evaluation and management.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Treadmill Test (Exercise Stress Test)

    • Detection Capability: Can suggest reduced blood flow but not precisely quantify blockage.
  2. 2D Echocardiogram (2D Echo)

    • Detection Capability: Limited in directly identifying coronary artery blockages.
  3. Electrocardiogram (ECG)

    • Detection Capability: Detects heart rhythm issues or signs of past heart damage, not exact blockage severity.
  4. Coronary Angiogram

    • Detection Capability: Precisely identifies and measures artery blockage, including an 80% blockage.
  5. Summary and Recommendations

    • Guidance: Angiogram is necessary if symptoms and non-invasive test results suggest significant blockage.
    • Consultation: Cardiology consultation recommended for diagnosis and management.
  6. Additional Notes

    • Risks and Benefits: Angiogram is invasive but provides accurate blockage assessment.
    • Alternative Tests: CT coronary angiography may be considered if applicable.

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Consult a Cardiologist

Answered 14 days ago

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