Can ECG and echocardiography detect coronary artery disease?

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Question
Hello doctor,
I am 23 years old this year. I have hypertension and left chest pain, when the electrocardiogram and echocardiogram are normal, the results are normal. The doctor prescribed medicine for 1 week, then I had a slight left chest pain when I went to work. The doctor asked me: Can electrocardiography and echocardiography detect coronary artery disease?
Thanh (1998)
Reply
Hello,
To the question "Can ECG and echocardiography detect coronary artery disease?", the doctor would like to answer as follows:
Electrocardiogram and ultrasound Echocardiograms are the primary diagnostic test for coronary artery disease. However, the diagnosis cannot be completely ruled out based on the above two tests alone, depending on the symptoms of pain, age, risk of coronary heart disease, such as hypertension, smoking, Diabetes, hypercholesterolemia, family factors... The doctor may order more specialized tests to diagnose such as: stress electrocardiogram, stress echocardiogram, coronary CT scan... for definite diagnosis. You should consult a specialist for advice and the most suitable treatment method.
If you still have questions about coronary heart disease, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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Answered by Master, Doctor Vu Thi Tuyet Mai - Cardiologist - Cardiovascular Center - Vinmec Central Park International General Hospital.
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