My MPS showed a small focus of reversible ischemia. I was given the choice of proceeding with a heart cath or not. I'm confused. Wouldn't it be risky to avoid the angiogram?
1. Anterior defect/possible soft tissue/breast attenuation artifact, 2. Inferior defect/possible soft tissue/breast attenuation artifact, 3. Consider PET viability/ischemia. Also stated: Appropriate augmentation of contractile function in all visualized segments on stress first pass acquisition. His HR reached 169, BP reached 142/92 in the 7.5 min test. Thoughts? Cardiologist ordered angiogram for this Friday.
ve recently gone through a nuclear stress test that demonstrated a mild intensity inferior apical defect and was diagnosed with mild inferoapical ischemia. Please explain what all these mean and the operation involved.
Thanks.
Hi Susan,
As there is an indication of ischemia of a large area, there is a good reason to look further into this.
Ischemia is caused by lack of blood supply from the coronary arteries.
This could in time lead to a myocardial infarction. You want to stay ahead of this.
Why did you have the tests? Are you experiencing some chest discomfort?
The best way to check the condition of your coronary arteries is with a angiogram.
I need your advice. I have been having chest pain for 5 years-unrelated to exercise but sometimes related to stress. I have had three angiograms with varying results. First angiogram: surgeon diagnosed a 70% blockage at the main branch of my left anterior descending artery. Upon followup, my cardiologist read the same xray and diagnosed 50% blockage. Second angiogram (2 years later): the surgeon diagnosed 30% blockage in the same area.
I need help understanding the results from my perfusion stress scan. What is meant by "There is a small focus of reversible ischemia in the inferior septal region of the left ventricle near the base of the heart."?
With medications the blood supply could have been restored and hence no defects identified. This can happen with reversible ischemia. The ischemia has not caused any permanent damage to the heart muscle. The stains are for controlling lipid levels. Beta blockers help to control blood pressure and promote the pumping capacity of the heart and the GNT spray is for when you experience chest pain. Please discuss in detail with your doctor, as of now your heart condition is stable. Regards.
My stress echo shows horizontal ST depression with exercise and post stress hypokinesis concerning for LAD ischemia. Ejection fraction is 70-75%. I have had no chest pain that I am aware of with exercise but family history on father's side of mild heart attacks of all brothers and 1 sister in their 60's which is why I got the test. The advice I am requesting is if I can wait until early August to get an angiogram?
There s very mild reversible ischemia in the anterior wall in the LAD terrtory.The left ventricular ejection fraction was calculatedor visually estimated to be 71percent.the docter will do my angiogram.This report shows ok.
the cardiologist diagnosed me with stable angina and upped my atenolol dose and he order an angiogram procedure for me. i am very anxious and i can not handle that type of invasive procedure. he told me that i could be at risk of a heart attack and himself and the nurses were upset at me that i declined the cath procedure.
my question to you guys is..could my heart rate at 190 BMP have been svt or afib/flutter just mimicking ST elevation? can sinus tach get up to 190?
Hypokinesis indicates heart wall movement impairment. The condition can be due to ischemia (lack of blood flow) of heart cells in the position given. A better test would be an echocardiogram to view the heart wall movement in realtime, and if there is an impairment that is significant the test will calculate an EF below normal. EF (ejection fraction) is the percent of blood pumped into circulation with each heartbeat.
Recommended
