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.
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
At the hospital the cardiologist recommended an angiogram or nuclear stress test. The nuclear test showed the following results:
"The estimated left ventricular ejection fraction is about 60% which is normal. 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.
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?
I had this test done - Persantine thallium stress test. The injection via IV, Persantine went in for 1.5 minutes only then the doctor want to terminate the test. It took 2 days to complete the test. I was given a strong coffee to drink after the first day. Advise go home and drank the strong coffee as much as I can. Return the next day.
From what I understand, a Persantine Pet Scan is a stress test not on a treadmill, but with medication to speed up your heart. Similar to that, I had a Thallium Stress test done four years ago after the CT-Scan with medication since they could not get an ECG on the treadmill - so far it looks like, we are even test wise (EF 74%). The cardiologist at the time said, don't worry you're going to live another 35 years. Since I was 75 at the time that would bring me up to 110 years.
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!
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.
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.
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.
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.
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).
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?
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