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The nuclear stress test is only one test. The angiogram is the best. My mom had a nuclear stress test and then three weeks later had an angiogram which proved that her heart was extremely bad. The nuclear stress test was okay. My mom was plugged in the three arteries. Three heart valves were bad and she had cardiomyopathy. The doctors said that they did not know why she was even able to walk around. The echocardiogram did not show that her heart valves were that bad either. She had extreme pressure in her heart. If the chest pains persist, you may want to consider having an angiogram. Chest pains can be from spasming arteries, blocked arteries, or heart attack symptoms.