Stress test gated images
Common Questions and Answers about Stress test gated images
stress-test
Myocardial perfusion imaging shows normal tracer uptake on the resting images. Stress images show a new small midly revesible defect in teh anterior wall. This appears consistent with a small amount of anterior reversible ischemia. However, shifting soft tissue/breast attenuation cannot be excluded. Gated analysis shows normal systolic function and wall motion with ejection fraction of 66%.
She was the 4th person to have the test on this equipment. According to the results stress images reveal a large sized perfusion abnormality of moderate to severe intensity in the lateral and anterolateral walls . Stress images also showed a medium sized perfusion abnormality of mild to moderate intensity in the interoseptal and inferiolateral walls. Grade V stage. Gated SPECT revealed abnormal left ventricular function with an ejection fraction of 36%.
My recent nuclear cardiac stress test shows the following results. What does this mean? Is this something to worry about?
• Myocardial perfusion images show a mild inferior and Lateral scar versus artifact. The post stress left ventricle normal in size
• Post-stress ejection fraction is 87 %. Global left ventricular systolic function is normal
• Exercise capacity 13 METS.
Myocardial images acquired following exercise demonstrate a small sized perfusion defect of mild severity in the inferior region of the left ventricle. The rest images reveal complete reversibility in this region. Stress images also reveal a mild decrease of tracer uptake in the anterior area of the apex. The rest images are unchanged in this region. Cavity dilatation is not present. Systolic myocardial thickening and wall motion at rest are normal on gated imaging.
t know the significance of changing positions, but changing positions did not change the effect any change of stress images. If you were having chest pains, the perfusion defect might be the underlying cause.
With more information there could be a better understanding what is going on, but just based on the information provided there appears to be some vessel blockage.
Thanks for the question and if you have a followup question(s), you are welcome to respond. Take care.
He then decided that as an effort to eliminate any concerns, that I should do a nuclear stress test. I went ahead with the nuclear test, and immediately after, he said that there are few concerns with some of the images that came back which reveled possible ischemia. I was really surprised, seeing how up until now, everything else was normal. He then said "I think for peace of mind, you'd be best going ahead with a heart cath just to rule anything out.
I had an echo and a stress test done and the results were...Mild cardiomopathy with anteroseptal hypokinesis (ejection fraction 45%) Dr sent me to a cardioligest where they did Gated SPECT cardiolite myocardial scan and exercise cardiolite myocardial scan. results were mild intensity perfusion defect in the anterior wall without any evidence of reperfusion on the delayed images.. Gated SPECT analysis reveals an ejection fraction of 62%..what does all of this mean...
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%.
“The post Stress Myoview images show a small to moderate territory of decreased perfusion. This involves the basal and mid inferolateral region and is moderate in severity. The remaining segments are perfused normally. The rest Myoview images show partial improvement in perfusion to this region however non-transmural fixed abnormality remains.
Gated wall motion study shows mild basal inferolateral hypokinesis. The ejection fraction is 60%.
Perfusion imaging may be done before and at the end of the exercise stress test to compare the images at rest and images that may change due to stressing the heart. Comparing these images of the heart before and after the stress test helps to show if ischemia is reversible. “Reversible” ischemia on imaging means the imaging portion of the stress test had a change in appearance from before and after the stress test indicating stress induced ischemia.
Maybe I should have not asked for the Stress Test and listened to my Doctor. He suggested we either redo the test or refer to a Cardiologist at teaching hospital
As soon as I eft the office I went for a a nice 40 minute run no chest pain or shortnes of breath was noted. Should I increase my dosage of baby aspirin? do you think they will recommend another cardiolite test or angiogram?
I think I might have to wait a while for the appoinment.
What's your impression or guess?
I am a 64 year old female. I had my first AFib episode on 5/31/2014. Two years later on June 17, 2016 I had my second and a small third one a month later. I was hospitalized for the first two. They performed a stress test on 6/17/2016. Stress test findings were: "There does not appear to be any increase in lung uptake. Review of the images shows no evidence of significant decreased tracer uptake suggesting ischemia.
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