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.
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??
An echocardiogram is the EF measurement at rest and the gated sestamibi scan is the post-stress scan and will not represent basal LV function in all patients with stress-induced ischemia. Ischemia-induced LV dysfunction after completion of exercise in patients is limited and inconsistent.
You may want to discuss with your doctor about the discrepancy between the two tests.
Hi, new to MedHelp. I just got my results on a patient portal from a stress test that I just had done a few days ago. I don't see my doctor for 2 weeks, but my anxiety just makes me want to know what is going on. Does anyone know how to interpret these results? Thank you for any input you can give.
Findings: Patient was pharmacologically stressed with adenosine at a
dose of 48 milligrams. No chest pain occurred during stress.
Hi, new to MedHelp. I just got my results on a patient portal from a stress test that I just had done a few days ago. I don't see my doctor for 2 weeks, but my anxiety just makes me want to know what is going on. Does anyone know how to interpret these results? Thank you for any input you can give.
Findings: Patient was pharmacologically stressed with adenosine at a
dose of 48 milligrams. No chest pain occurred during stress.
The patient was stressed with Lexiscan scan, then 31 millicuries technetium 99m labeled sestamibi was injected intravenously. SPECT stress imaging was then obtained.Comparison: None.Findings: Anterolateral wall reversibility concerning for myocardial ischemia.No fixed defects.Left ventricle is normal size.Impression: 1. Anterior lateral wall reversibility, concerning for myocardial ischemia. Negative for definite infarct.2.
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.
Usually, reversable ischemia is an expression as a result of a stress test.. During a stress test, a radioisotope (named thallium or sestamibi) is injected at rest and images are obtained of blood flow to the heart muscle. Then, the same injection and images are obtained just after maximum exercise. The rest and exercise images are directly compared to determine if an area that has good blood supply at rest has a reduction in blood supply at peak exercise.
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!
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%.
Atrial fibrillation and chest pain.
RADIOPHARMACEUTICAL: 10.26 mCi of Sestamibi was given for the resting study. 31.9 mCi of Sestamibi was given for the stress study.
FINDINGS: Ejection fraction is 74%. End-systolic volume is 19 mL. End-diastolic volume is 73 mL. SPECT images were obtained in short axis, horizontal and vertical long axis projections. There is no evidence of reversible or fixed perfusion defects. No wall motion abnormalities except for mild hypokinesia of the septum.
, ie, inter-operative sestamibi scan and the ability to test PTH levels immediately during surgery. I had another sestamibi scan done at his medical center - NEGATIVE. He also retested my Ca+ level (10.7) and PTH level (it was up to 145).
My question is this: what's up with the differentiating scans?? How could they be so opposite of each other, and, if I have a parathyroid adenoma, why am I getting a negative sestamibi scan?
2 mci of techtium-99 sestamibi before treadmill and 36.7mci of techtium-99 sestamibi after treadmill and took scans. The second test was done in February of 2009. I’m not sure which material was used in that test but plan on finding out from the office where it was done. My question is have I exposed myself to dangerously high levels of radiation. I’ve read multiple articles on the web and can’t figure out how much potential exposure I’ve had.
Do I have Hyperparathyroidism or Anemia or both? My Sestamibi scan came back negative, but my calcium level is 10.3 and my PTH is 154. Now my Endocrinologist wants me to have a SPECT Sestamibi scan. How is this test different? Per my doctor I'm taking 50,000 IU Vitamin D once a week because my body is eliminating that along with the calcium. Should I be taking Vitam D? I was also told I'm anemic. They seem to have similar symptoms. I can't get any answers! Can you help me?
Recommended
