Some of the alternatives include aspirin, Clopidogrel (Plavix), ticlodipine (Ticlid), dipyridamole (Persantine). Another alternative is Heparin injection. Different situations require different levels of anticoagulation. It is important to discuss the best treatment option with a physician.
As you have been stable on these medications, your doctor has suggested you continue with the same. Aggrenox has both aspirin and dipyridamole extended release. 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.
I ask the Cardio Doc about the dangers of the Persantine stress test, he say that the Persantine drug dont stimulate the heart in the same way than the Doputamine and that I will feel weak, will have headache cause of the vasodilation (already have chronic headache), a drop of blood pressure and small increase of the heart beat, he said it's an easier test with less side-effects than the Dobutamine test and more accurate since it's a nuclear imaging test, who is better than the usual e
The adverse effects experienced are similar to those with use of adenosine. While adverse effects are less frequent with dipyridamole (47% of patients), they tend to be more serious than those associated with adenosine. The most common adverse effects of dipyridamole are chest pain (19%), headache (12%), and hypotension (4.6%). In addition, 12% of patients require aminophylline for reversal of adverse effects.
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.
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.
My results of Persantine Nuclear Scan: Stress and Rest Perfusion images demonstrated moderate sized mild severity partially reversible mid anterior perfusion defect. Raw images demonstrated evidence of breast attenuation. Resting end-diastolic vol is 93mls and post stress is 101. Resting end systolic vol is 32mls and post stress is 35mls
What does this mean? What can I expect? My doc wants to do a cath, is this necessary?
After, she was told she could never take Coumadin again. She was placed on Persantine (This medication is used in combination with "blood thinners" to keep clots from forming after heart valve replacements. Dipyridamole (Persantine) belongs to a class of drugs known as platelet inhibitors. It helps to keep blood flowing by stopping platelets from clumping together and by keeping heart blood vessels open.
Blood-thinning medications -- Ginkgo has blood-thinning properties and therefore should not be used if you are taking anticoagulant (blood-thinning) medications, such as aspirin, clopidogrel (Plavix), dipyridamole (Persantine), heparin, ticlopidine (Ticlid), or warfarin (Coumadin). There has been bleeding in the brain reported when using a ginkgo product and ibuprofen (Advil), a non-steroidal antiinflammatory drug (NSAID).
There is suggestion of mild left ventricular chamber dilatation with Persantine stress, in particular, with a TID inde of 1.15. This is a nonspecific finding and may or may not reflect some underlying multivessel coronary artery disease. There is no significant regional wall motion abnormality identified. There is question of incomplete myocardial wall thickening in basal portion of the inferior wall on the cine study.
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?
Patients who are taking medications for lung problems, diabetes mellitus, congestive heart failure and Persantine may need to alter their medications.
It was recommended because she had a reversible inferior apical defect on a Cardiolite discovered during a persantine stress test. The doctor said she was not a candidate for open heart surgery because she also has significant COPD, Diabetes and Asthma.
My question is: What does this mean? The cardiologist said he wouldn't do anything at this time.
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.
STRESS EKG PORTION: Patient underwent Persantine PET protocol for 4 minutes and heart rate rose to 55% of the maximal age predicted heart rate. Stress EKG portion was non-diagnostic for ischemia.
FINDINGS: Stress perfusion images show a mild reduction in uptake in the distal anterior wall and apex with normalization on resting images. This is suggestive of mild ischemia in the distal left anterior descending artery territory.
Echo and persantine tests normal 3 months ago (done to evaluate for PH/copd) It was 9/10 and 10/10 severity nerve pain, not muscle, no brash, no acid in throat, etc. It lasted less than 10 minutes. I drank warm water and took a pepcid complete. Since it was so wide spread (waist to shoulder) am trying to figure out if this is just severe diffuse esophageal spasm (not up into neck like I get with 1-2x year esophageal spasm) or thoracic spine problem.
False negative imaging is especially common when exercise is submaximal or in dipyridamole/adenosine studies of patients with severe obstructions of all three major coronary vessels. False positive scanning may be caused by signal attenuation from an elevated left hemidiaphragm or from breast tissue. These artifactual defects can be identified by performing a gated perfusion study to assess regional wall motion.
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!
There is suggestion of mild left ventricular chamber dilatation with Persantine stress, in particular, with a TID inde of 1.15. This is a nonspecific finding and may or may not reflect some underlying multivessel coronary artery disease. There is no significant regional wall motion abnormality identified. There is question of incomplete myocardial wall thickening in basal portion of the inferior wall on the cine study.
Echo and persantine tests normal 3 months ago (done to evaluate for PH/copd) It was 9/10 and 10/10 severity nerve pain, not muscle, no brash, no acid in throat, etc. It lasted less than 10 minutes. I drank warm water and took a pepcid complete. Since it was so wide spread (waist to shoulder) am trying to figure out if this is just severe diffuse esophageal spasm (not up into neck like I get with 1-2x year esophageal spasm) or thoracic spine problem.
I have recently learned I have had a heart attack and would like an explanation of of the findings on the Persantine Stress test please. Is any of the damage considered to be reversible, would surgery be necessary at some point?
Observations:
There is severe perfusion defect involving the distal part of the anterior wall and extending to the apex.
Resting Myocardial Perfusion Study: same observation.
LV Function: The left ventricle is of normal size, there is apical hypokinesia.
His ECG shows that he has a right bundle branch block configuration. A Persantine MIBI scan showed evidence of ischemia. He had a pulmonary function test which showed moderate interstitial lung disease. The patient was brought in and catheterized by myself to exclude any possibility that his shortness of breath may have any cardiac component to it. He had grade I LV function with a normal RCA, LAD, and circumflex. A full hemodynamic assessment was made and his cardiac output was 6.
I had a resting persantine stress test. I was admitted for chest pain. The results were irreversible ischemia in the septal region & heterogeneous pattern diffusely. The DR at the hospital said all tests normal. When I was discharges the stress test report was mixed in with the usual discharg papers. This was in 2007. When I asked the Dr. what all the medical words meant. He said do not worry about it & would not answer.
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