I am a 47yo male in good shape, regular excersise, 6' 190 lb. I had atypical symptoms of Angina, ie arm and chest pain not associated with excersize. I had two stress tests, one nuclear. In both I went 13.5 min to attain the desired heart rate of 160, and scarcly broke a sweat. The nuclear test results. 'Abnormal left ventrical function by gated imaging. Evidence of mild LV dysfunction. Segmental wall motion abnormality of antrior and septal walls. Evidence of myocardial ischemia involving the anterior and inferior septal and apical walls'. MD comments; 'There is a relativly large area of anterior and moderatly sized area of inferior ischemia noted on this study'. But all doctors, ie primary, the two stress test doctors and follow on Cardiologist suggest that it's not normal to do 13.5 min on treadmill w/o severe symptoms and or inabilty to complete the treadmill test. The follow up cardialogist is suggesting it could be a bad test, and that if it's a good test, then I have serious problems, and may need a bypass. But the preforming doctor says it's a good test. I have been put on low dosages of beta blocker and statin. Follow up Cardiologist suggests that if the nuclear test images are correct then this is not aggresive enough. They can't agree on why I did so well on the stress test. Q. Can some one do this well on a stress test, ie 13.5 minutes and still have major heart problems? What's next?