Nuclear stress test or CT angiogram - Better chest aneurysm detector?

Posted by hearthealth @hearthealth00, Sep 17 7:22am

After my first heart attack
(several years ago) there was so much scare tissue on my left side of my heart.
Over due time this scare tissue formed into an aneurysm . ( bond to happen)
They found an ascending thoracic aortic aneurysm in my heart back in 2015, but know they discovered an apical ventricular aneurysm at the emergency room
Going in for more test .
My question is which is better at finding aneurysms in the chest Nuclear stress test or CT angiogram chest

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I haven't heard of a nuclear stress test being used for aneurysm detection, though I am not a doctor. My aneurysm is monitored by CT.

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Maybe have both? If your insurance will cover that.

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Sorry, forgot to mention Was getting the nuclear stress test for my heart to see if it’s
Strong enough for surgery.
(For the aneurysm in heart)
When going to the emergency room that’s when they noticed the second aneurysm.
I cannot have a Cardiac magnetic resonance imaging (MRI) done due to a medical implant -was just wondering what test you had done?

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I should mention that my aneurysm is an ascending aortic aneurysm. I looked up ventricular aneurysms and it sounds very different from an aortic aneurysm, since it is in the heart wall. I believe that CT and Echocardiogram are the standard methods for assessing aortic aneurysms.

Your doctor should prescribe the right tests. If you're concerned, maybe have them explain it to you.

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Aortic and ventricular aneurysms are both conditions that can occur after a heart attack, but they are not often found together
Ascending thoracic aortic aneurysms (ATAAs) and apical ventricular aneurysms are both types of aneurysms, but they differ in location, cause, and symptoms
An ATAA occurs in the aorta, which is the largest artery in the body, in the chest. An apical ventricular aneurysm occurs in the left or right ventricle of the heart.

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I had a nuclear stress test after a blood pressure spike that sent me to the hospital and I was admitted. The nuclear test came back completely clear and never showed an aneurysm. Since I was still having some shoulder and neck pain, my cardiologist ordered the CT scan out of an abundance of caution. That showed no blockages in any arteries, but did find the aneurysm on the ascending aorta. I would have the CT angiogram with contrast. That seems to be the gold standard for aneurysm discovery.

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