Stress test after heart attack
Common Questions and Answers about Stress test after heart attack
stress-test
hi i went for stress echocardiogram after i had a heart attack on the report it states at rest the mid apical septum and apical inferior segment are akinetic and the mid anteroseptum apical lateral and apical anterior segments hypokinetic ther was no response to dobutamine in these segments indicating irreversible ischaemia in the akinetic segments please what does this mean many thanks
The third one was done last week and they chose to do the injection of med rather than treadmill. Towards the end of the test, I had heart attack symptoms ( which resolved with 3 squirts of nitro) and was sent to the hosp for an angiogram. Results of the angiogram were good , except for a 25% occlusion in a distal aeortic vessel on the back of my heart down by the apex. The Dr. said that my heart had "spasmed" during the stress test.
The doctor admitted me to the hospital to check my blood levels to see if I had had a heart attack. I had not. I have had two sets of chest xrays done and they show nothing as well. I went in for a stress test and it appeared to be "abnormal". I went in for an angiogram and the doctor assures me that my heart is in excellent shape except for a very small blockage. I continue to have the tightness in my chest and the feeling of being flush.
My husband is 66 and recently had a SPECT Myocardial Perfusion Imaging Study (stress test). It was essentially normal, with the exception of the following: "there is a moderate sized reversible defect of the inferior and apical walls". The left ventricle was normal in size and the ejection fractions were 57% at rest and 63% post stress. The internet resources suggest that such a defect could be indicative of a prior silent heart attack. Is this true?
A heart wall defect indicates there are damaged heart cells that can be caused by a lack of blood/oxygen to the areas provided. Myocardial scar indicates there was a prior heart attack and that caused heart cell necrosis. The conditions will impair heart wall movement (hypokinesis, or akinesis).
What this indicates there may be reduced ability of the heart to pump adequately to meet the oxygenated blood demand. Do you have report regarding your heart's ejection fraction (EF)?
After that my high blood pressure went away, totally cured along with lack of stress. One month after that I received a 2d echo with color doppler which was unremarkable. After that due to complains of stomach fullness being a physician myself I ordered a BNP which resulted at 36 picograms. In the same week now 2 months after that tachycardia episode A cardiac stress spect was also unremarkable. A follow up BNP revealed levels at 5 picograms.
No you are not wrong, I had symptoms for years before they finally realised what my problem was. But what have symptoms got to do with anything? One thing to maybe consider in your logic are the many people who discover they have dead heart tissue years after the event. They didn't even realise they had a heart attack. Is it not wise for your Cardiologist to be cautious? after all, your calcium score is VERY high.
I am 56 healthy female. I had 18 months ago a stress cardiomyopathy and a heart attack. No heart damage was detected, they did an angiogram and found only 10% micro vascular blockages. Then one month ago I had again possible heart attack. Elevated triponin that continued to rise with chest pain. Did not see any stress cardiomyopathy on echo. I again had a repeat angiogram but only showed micro vascular blockages at about 10%. They are puzzled with what is going on.
I had an abnormal stress test last week, and I had a heart attack many years ago. My cardiologist said he thinks I should have a Heart Cath, but is leaving it up to me. He said something that was confusing to my husband and me. He said my heart performed good during the stress test but that was bad. Sounded contradictory to us.
Can someone please help me understand my recent Stress test findings: Images show mild intensity small-sized defect, located in the distal anterior and apical wall. Rest images show no change of the defect compared to the stress images. This defect suggests infarction vs. artifact in the wall. Gated SPECT imaging demonstates abnormal septal motion of the distal anterior and apical wall. The left ventricular ejection fraction was calculated to be 56%.
At the time of the surgery, it was thought that I had not had a heart attack. Do these results imply that in fact I had had a heart attack?
The cardiologist indicated that one of the three new arteries is blocking. How can this be after only nine months? What does this mean for future problems with blockages?
Thanks for your advice.
test with myocardial perfusion imaging revealed mild to moderate ischemia involving the basal anterior septum and mid anterior septal walls. He is status post recent (4/7/08) four-vessel bypass graft with a LIMA to the LAD.
My husband has been labeled a walking piece of plaque by his cardiologist.
With his open-heart surgery being so recent, with him being diabetic, and he has never had any symptoms of his illness - should this recent test be looked into further by your opinion?
I have had a bubble test for the hole in heart which showed up something and the stress echo was a follow on. Here in England you do not get immediate responses, so I have no idea what this all meant. Three times this happened whilst trying to recover but the heart rate rapidly increased upon sitting on couch and the other symptoms. Another Dr was called in and they went for a discussion in the corner so I could not hear anything. Ity took 30 mins for my heart rate to stablise.
Recently had a EKG (actually two) and it suggested a prior mild heart attack. I am scheduled by my cardiologist for a nuclear stress test. I was questioned about any chest pains and could remember none. However, I do remember that my dentist a number of yrs. ago, injected novocaine and I had a terrible reaction, shakiness , flushed and having a difficult time breathing. The doctor said sometime the injection will go straight into my blood system and cause this .
In basic terms, it states that the left front of your heart has had a heart attack at some time. What it doesn't state is 'reversible ischemia' unless you omitted that part. If it says reversible, then stents could be an option.
Hi
I had heart attack during July 1996(14 years back at the age of 38) and it was diagonised as Acute myocordial infarction (Anteroseptal ) and I was treated After one moth of treatment I had a stress test and was tested up to 174 heart rate and my ejection fraction was 53% during echo cardiogram.I continuned with daily 1 tablet of Nitrocontinn for few years.
Now past 2 years I have stopped taking the Nitrates and I was regular on excersis(walking/gym) and i never had chest pain since 1996.
Given the family background and an abnormal stress test, a heart cath would serve to give you and the doctor a good view of your cardiac arteries and also serve as a reference point if further work needs to be done. I suggest you put away your fears by doing some research, you will find the procedure is very safe, and proceed with confidence. Believe me, plaque buildup is serious stuff, and the procedure is very safe.
Rushed myself to the ER and had blod pressure. EKG, Blood Work, Chest X-Ray, ECG and Stress Test. All show negative towards heart attack and normal. They labled this anxiety although I had no stress in my life. The next week couple of weeks I had heart palpitations. I wore a loop recorder for a week and found nothing. Then the third week after being discharged I felt my body having pins and needles feeling for one week at night only and have muscle tremor and jerks.
Recommended
