- Should this isotope testing be done after catheterization? What new infromation could be gained from that?
- Since adenosine or dobutamine be used as stimulants, what kind of danger could it be? I read some articles on PubMed saying that adenosine/dobutamine can cause things from AV block to ventricular fibrillation.
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.
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 0.5-1mm ST-T Depression in inferolateral leads. No further ECG changes were noted during and after persantin infusion.
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.
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.
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
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?
Cardiologist felt he needed to get to the bottom of things and had me do a persantin stress test four days later. The stress test showed an ejection fraction of 61%. My cadiologist had no explanation for the low echo results. He was very upbeat and cheery about the stress results and told me the stress test is the most accurate to determine heart health and output. Is he right??
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 had the testing, due to my age, and I will tell you right now that the anxiety and stress from waiting for these results is killing me! If you are young and your u/s is normal, I'd say skip the testing. Its just not worth the amount of fear and stress it puts on you (In my opinion).Plus, they can come back with a false positive.
Oral sex is defined as pretty low risk so if you want to get tested just for peace of mind then you can get tested around 17th June with a 4th gen ag/ab DUO test.
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