Understanding non-invasive tests for cardiological chest pain

Written in association with: Dr Gosia Wamil
Published: | Updated: 24/10/2024
Edited by: Karolyn Judge

If you've ever experienced chest pain, you know how worrying it can be. Thankfully, there are several non-invasive tests that doctors use to get a clear picture of your heart and help determine what's causing the pain. Leading consultant cardiologist Dr Gosia Wamil has put together a simple guide to three common tests that your cardiologist might recommend:

 

 

CT coronary angiography (CTCA)

 

This test uses a special kind of X-ray to look at the arteries that supply blood to your heart. Think of it as taking detailed pictures of the blood vessels to see if there are any blockages or narrowing that could be causing your chest pain. It’s a quick and painless test where you lie still on a table while the scanner takes images of your heart. The results help your doctor understand if your chest pain is related to coronary artery disease.

 

 

Stress echocardiography (Stress echo)

 

This test checks how your heart works when it’s under stress, like during exercise. If you can't exercise, medicine can be used to make your heart beat faster, mimicking the effects of exercise. During the test, ultrasound images of your heart are taken before and after the stress. These images show how well your heart pumps blood when it’s working harder. If parts of your heart aren’t getting enough blood, this test can help identify that.

 

 

Cardiac Magnetic Resonance (CMR) stress perfusion

 

This test also looks at how your heart performs under stress, but it uses magnetic fields and radio waves to create detailed images of your heart. During the test, a contrast dye is injected into your bloodstream, and the CMR machine takes images of your heart as you’re at rest and then again during stress. It’s a bit like combining an MRI and a stress test. This test is particularly useful for looking at how well blood flows through the heart muscle and can detect areas that might not be getting enough blood.

 

 

Why is it important to test quickly?

 

When you experience chest pain, it’s crucial to test as soon as possible to determine the cause. Some conditions, like a heart attack, myocarditis (inflammation of the heart muscle), or diseases of the aorta, can be life-threatening and need immediate treatment. On the other hand, some causes of chest pain are mild and may get better on their own without any treatment.

 

By using these advanced imaging tests, Dr Wamil can often make a crucial distinction between life-threatening and mild causes of chest pain in a single appointment. This not only helps in getting you the right treatment fast but also puts your mind at ease, knowing you’re in good hands. So don’t wait—if you’re experiencing chest pain, get tested quickly to ensure your heart is healthy.

 

 

 

Do you experience chest pain, and require a non-invasive test? Arrange a consultation with Dr Wamil via her Top Doctors profile.

By Dr Gosia Wamil
Cardiology

Dr Malgorzata (Gosia) Wamil, PhD is an Oxford-trained, internationally recognised consultant cardiologist. She practices at the world-renowned Mayo Clinic Healthcare in London and the Manor Hospital in Oxford. Her clinical specialities are heart failure and the precise application of non-invasive cardiac imaging techniques, including cardiovascular MRIcardiac CT, and advanced echocardiography (trans-oesophageal echocardiography, bubble echocardiography, contrast echocardiography, 3D echocardiography, and stress echo).
 
Dr Wamil’s extensive expertise has been honed through years of dedicated practice and specialized training, with patients frequently asking her for a second opinion. Dr Wamil pursued comprehensive cardiology training at the Oxford University Hospitals between 2008 and 2017. This rigorous program encompassed fellowships in cardiovascular medicine, advanced cardiac imaging, heart failure and cardiomyopathies. During this period, Dr. Wamil earned internationally recognised accreditations in echocardiography, cardiac CT, and cardiac magnetic resonance, showcasing her commitment to excellence. She has received multiple awards for her academic excellence, including fellowships and grants from esteemed organizations like the British Heart Foundation, the European Association of Cardiovascular Imaging and the European Society of Cardiology.
 
Acknowledged for her academic excellence, Dr. Wamil has been honoured with multiple awards, fellowships, and grants from esteemed organizations such as the British Heart Foundation, the European Association of Cardiovascular Imaging, and the European Society of Cardiology. Her research journey spans the spectrum, from fundamental science and drug development (MSc and PhD in Cardiovascular Science, University of Edinburgh 2005-2008), to pioneering proof-of-concept studies employing imaging techniques (British Heart Foundation Postdoctoral Fellowship at the University of Oxford 2016-2017) and randomized clinical trials (MSc in Clinical Trials, University of Oxford 2022-2024).

Dr. Wamil is known for her cardiac MRI, CT, and advanced echocardiography expertise and is often able to combine them in ways that are transformational in the treatment of complex cardiovascular cases. Actively participating in the European Association of Cardiovascular Imaging, she holds a distinguished role as a member of the prestigious Leaders of Tomorrow Programme. This involvement allows her to be pivotal in organizing international teaching courses and setting standards for operating cardiac imaging departments across Europe. Her dedication to education extends to imparting knowledge and expertise to aspiring medical students and junior doctors through diverse teaching platforms and programs. 
 
In her clinical practice, Dr. Wamil excels with a uniquely effective human-centric and holistic approach to medicine with patients. Her expertise, however, extends well beyond the hands-on practice.
 
She holds the esteemed position of Honorary Senior Researcher Fellow in the Deep Medicine Department at the University of Oxford, actively contributing to ground-breaking research. As a Diabetes Pharma Committee Member at the National Institute for Health and Care Excellence (NICE), she co-authored national guidelines for managing heart disease in people with diabetes. In recognition of Dr. Wamil's scientific contribution, she holds the title of Fellow of the European Society of Cardiology and is a member of several medical organisations such as the Royal College of Physicians, British Society of Echocardiography, and European Society of Cardiovascular Imaging and the European Heart Association.
 
 

View Profile

Overall assessment of their patients


  • Related procedures
  • Heart attack
    Arrhythmia
    Hypertension (high blood pressure)
    Pericarditis
    Heart failure
    Injury valves
    Heart murmur
    Echocardiogram
    Electrocardiogram
    Ambulatory electrocardiogram (Holter)
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.