What is nonreversible apical inferior wall and what does it mean when they say no dipyridamole-induced reversible ischemia .there is mild defect in the apical inferior wall that is not reversible at rest.
thallium stress test Report.. Please Tell me the conclusion of Report ? do I need angiography ?
Dipyridamole myoview spect myocardial perfusion study
Age / Sex : 65/M
Indication: HTN, DM, ? IHD
Isotope : 7mCi of Tc-99m Myoview at peak stress
21mCi of Tc-99m Myoview at rest
Persantin Infusion Stress: Pharmacological Intervention was performed with injection persantin (Dipyridamole) at a rate of 0.142 mg/kg/min, 07 Mci of Tc-99m Myoview was given I/V. His resting ECG showed 0.
ECG last month showed SVES, RBBB. This week he has stress test with dipyridamole protocol, and injection of thallium-201. The result showed "evidence of mild, small to medium size, irreversible perfusion defect in the inferior/inferolateral wall (mid to basal level)." Could you explain what this means? Does he need to have surgery or pacemaker? thanks in advance for your help.
Pharmacological stress Tc-99m MIBI scan was performed with Dipyridamole given at arate of 0.14 mg/Kg/min over 4 minutes followed by injection of radio tracer 6 minutes later.
Findings are: Peak stress images revealed hypoperfused infero-septal and apical segment, which showed reversal at rest.
Impression: Findings are consistent with infero-septal and apical reversible ischemia.
Thanks all!
Persantine is dipyridamole, but you will have to get extended release tablets as the two asprin and dipyridamole should not be taken together. Don’t change the medications without discussing with your doctor. So, consult him and then decide.
Hope this helped and do keep us posted.
While you are taking Aggrenox (aspirin/dipyridamole), you should avoid taking over-the-counter pain medicine, especially any other products containing aspirin or non-steroidal anti-inflammatory drugs (NSAIDs).
Also, Avoid alcohol, or drink a minimal amount, as the combination of Aggrenox and alcohol could cause stomach bleeding.
I suffered a mild stroke (blood clot) Consultant prescribed Clopidogrel but cannot tolerate side effects. Then consultant prescribed Dipyridamole. I cannot tolerate this either. Severe headache, vomiting and diarrhoea. Has anybody got a different medication they are on?
They used Dipyridamole Infusion - 50 mg over 4 minutes
Reason for testing: Detection of Myocardial Ischemia ( RO/CAD)
AT REST:
VENTRICULAR RATE 44 bpm
P-R INTERVAL 170 - ms
QRS DURATION 88 - ms
QT 466 - ms
QTC 398 - ms
P AXIS 57 - degrees
R AXIS 44 - degrees
T AXIS 60 - degrees
EKG DIAGNOSIS Sinus bradycardia
At completion of the 4 minutes:
VENTRICULAR RATE 104 - BPM
P-R INTERVAL 192 - ms
QRS DURATION 82 - ms
QT 344 - ms
QTC 452 - ms
P AXIS 57 - deg
Dipyridamole was infused coupled with low level excercise without any significant complaints and ischemia ECG changes. heart rate changed from 68 to 100/min and blood pressure from 130/80 to 140/90 mm of HG.
Findings:
Images acquired after stress injection of Tc-99m-MIBI showed markedly reduced to absent tracer uptake at apex,antoseptal wall,apical anterior segments and almost whole of the inferior wall.
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. I have a blood pressure of 100 over 60 and a pulse of 72. I have had no other problems in the past. I am at a loss as to where to go next.
I have A Fib and I could not do the stress test with the treadmill so the doctor wants to give me an injection (dobuytamine hcl/250 and sestamibi(2) in order to race my heart to get it up to a certain speed and I am concerned since I have the A. Fib and take medication for it (Diltazam). Is it dangerous for me to have the test??
Just went for a stress test and It came back positive for slow blood flow thru heart. They scheduled me for a nuclear stree test next week is this really necessary? The only sympton I have is some chest pain once in a while. complete exhaustion, headaches,feeling like I have no energy. Could this be all tied in.
She gets sweating wlile walking app 200m distence for last 5-6 years. so her stress test was done. baseline ECG is normal. On Bruce protocol she could walk for upto 2 min on treadmill. There were no ECG changes during test, but during recovery phase she developed ST depression with T inversion in II, III, AVF , I, aVL and V2 to V6 for 10 min. She was not having chest pain at that time.
She is undergoing Cor angio shortly. What is the probability that she can have Triple vessel disease?
I can produce a numbert of different opinions what is the appropriate heart rate and so on with exercising. The best method for someone with a heart issue is to have a stress test. A stress test is oftened done for the purpose of learning the degree of tolerance/risk one can safely do. The rule of thumb stated is not recommended for someone who has heart issues. You will be safe to engage in exercising according to METs.
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