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.
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.
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.
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.
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.
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?
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!
It should not be used if you are taking anticoagulant medications, including warfarin, aspirin, aspirin-containing products, NSAIDs, or antiplatelet agents (eg, ticlopidine, clopidogrel, dipyridamole). I am not sure of what other potential drug interactions.
I would discuss the use of this drug with your urologist and you should mention it whenever a healthcare professional inquires about the medications you are taking.
I looked at the package and ASASANTIN is a brand name for DIPYRIDAMOLE/ASPIRIN.
Thought I would clarify that.
Other SSRIs, SNRIs, MAOIs, serotogenic drugs, NSAIDs, alcohol, tryptophan, aspirin, warfarin, clopidogrel, ticlopidine, dipyridamole, TCAs, phenothiazines, thioxanthines, butyrophenones, mefloquine, bupropion, tramadol, desipramine, clomipramine, nortriptyline, risperidone, thioridazine, haloperidol, flucainamide, propafenone, metoprolol, carbamazepine, ketoconazole, omeprazole, esomeprazole, fluoxetine, fluvoxamine, lansoprazole, ticlopidine, cimetidine, digoxin & other CNS drugs.
A half year ago (one week after hip surgery) on wake-up I discovered that I could see badly with my left eye. Initially, only the lower-half of my visual field was covered by a kind-of dense mist. After one week the dense mist spread out to the whole visual field of my left eye.
This was diagnosed by a neurologist and a neuro-ophthalmologist as a NAION (non-arteritic anterior ischemic optic neuropathy) after many medical tests (CT, MRI, OCT, blood tests, lumbal punction).
), but usually with supportive care (physiotherapy and occupational therapy) and secondary prevention with antiplatelet drugs (aspirin and often dipyridamole), blood pressure control, statins and anticoagulation (in selected patients).
you could further information on http://en.wikipedia.org/wiki/Stroke.
Hope you find this information helpful.
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
The doc I see has recommended cervical epidurals, I've had them in my back (3 different sets of 3 epidurals) I tried oral steroids first for a herniation at L3 also( I have all this going on at once). They may recommend physical therapy as well. Those are usually the first plans of treatment before looking into surgery. It's terrible to be in constant pain. I hope you find some relief soon.
Okay so I had a dr appt today and my dr wants me to make an appt with a surgery consultant to have my gallbladder removed. Has anyone had this done while pregnant or get induced early to perform surgery?
Hi , I'm new here. Juat wondering how many people haven't had surgery and don't want to. Anyone live a pretty normal life without surgery?
I had my surgery July 16, I'm doing alot of walking and as much as I can, just want to know when I'm going to feel lik myself again, I'm on steroids because of fluid that developed 2 days after..my last pill is Saturday..
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