Question 1

stress test stated moderate to severe ischemia anterior/apical. heart cath says stress test false p,no blocks,but mild elevated edp/lbbb. ef 55%. doc says nothing to worry about no restirctions. y?

Accepted Answer

Yes and no: EF of 55% is normal. Your breathing issues are due to diastolic dysfunction, dys-synchrony, and (by inference as there are no direct tests) small vessel CAD. You're not at risk of a classical heart attack (MI). There are no restrictions. I would vigorously treat blood pressure with an ACE inhibitor, and urge you to use a statin regardless of cholesterol level, and take 81 mg of aspirin daily.

Question 2

what isa a small reversible defect invovling the apical anterior wall, that is consistant with possible ischemia this person did have open heart sugery in the past 6 yrs and has had some fainting spells and all over does not feel well, also takes blood pr

Accepted Answer

In : In order to determine the likelihood of a significant narrowing of a heart artery, nuclear scans are performed with exercise, or with injection of a chemical. There are technical factors which may interfere with the result and cause "false positive" findings. Therefore all results must be considered in the context of the individual patient & after discussion with your cardiologist. Especially in your case (after heart surgery) there may be mildly abnormal results that may not have important clinical implication.  It may be a time to review your risk factor management with your cardiologist.

Question 3

i know someone who died of ischemia. what caused the sudden heart attack?

Accepted Answer

Hard to say: Ischemia means a lack of oxygen to the tissues.  This is usually caused by a blockage in the supplying artery.  Blockages are most often caused by atherosclerosis which is a slowly progressive disease.  Sometimes the plaque (diseased part) can break off and suddenly occlude the vessel. Also the disease can cause symptoms which are ignored until it is too late.

Question 4

if my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? have i ever had an heart attack before?

Accepted Answer

Not necessarily: You need confirmatory testing for this abnormal finding.  A high grade blockage in a heart artery could cause this even if you have not had a heart attack.

Question 5

what do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall , what that means have i every had an heart attack before?

Accepted Answer

Ischemia with stress: Hi. Without seeing the test done or the report, we can't say whether or not you've had a heart attack before. At the least, when you exercise and heart muscle oxygen demand goes up, not enough oxygen gets to the anterior wall and the septum to meet the demand. You need coronary angiography, and may need a stent or a bypass operation; you'll need medical therapy in any event. Ask your cardiologist

Question 6

can you tell me what reversible ischemia in the basal and mid inferior walls of the heart means please?

Accepted Answer

"Significant" block: Infer you have had an imaging study, using exercise or a pharmacologic agent to induce or provoke ischemia, and then using an imaging agent like a radioactive tracer, to show blood flow distribution. Subtracting a resting image from the "stress" image shows what areas have inadequate blood flow.  Since the blood comes from the coronary arteries, a reversible image implies partial, not total, block.

Question 7

i get angina from low blood flow to the heart when upright exercise because of dysautonomia. no blockages. will transient ischemia cause any damage?

Accepted Answer

Yes, it can if : left untreated, or keeps occurring, you may want to ask  your doctor / cardiologist about prophylaxis, medications as nitroglycerin before exercise or the long acting form, meanwhile you want to refrain from exercise that would cause you anginal pain, wish you well and good luck

Question 8

what is inferolateral ischemia heart deases means?

Accepted Answer

Heart artery narrow: This term means that the coronary artery branch which feed the bottom/side wall of the heart has narrowing/"blockage"

this finding is most likely made from a nuclear stress test.  

An angiogram would be a definitive test for the location, degree of blockage and if it can be safely opened with angioplasty and stent placement.

Question 9

is st.depression of the heart the same thing as myocardial ischemia?

Accepted Answer

Yes: It is often a sign of myocardial ischemia, of which coronary insufficiency is a major cause.

Question 10

two doctors found a suggestion of myocardial ischemia, had a heart cath and was clean? what does that mean if they both saw something?

Accepted Answer

Tests: tests are not always 'right'. Whatever test was interpreted as 'suggestion of ischemia', was likely not specific in this case

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Doctor answers about:

Apical ischemia heart

A member asked:

Stress test stated moderate to severe ischemia anterior/apical. heart cath says stress test false p,no blocks,but mild elevated edp/lbbb. ef 55%. doc says nothing to worry about no restirctions. y?

A member asked:

What isa a small reversible defect invovling the apical anterior wall, that is consistant with possible ischemia this person did have open heart sugery in the past 6 yrs and has had some fainting spells and all over does not feel well, also takes blood pr

A member asked:

I know someone who died of ischemia. what caused the sudden heart attack?

A member asked:

If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? have i ever had an heart attack before?

A member asked:

What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall , what that means have i every had an heart attack before?

A member asked:

Can you tell me what reversible ischemia in the basal and mid inferior walls of the heart means please?

A member asked:

I get angina from low blood flow to the heart when upright exercise because of dysautonomia. no blockages. will transient ischemia cause any damage?

A member asked:

What is inferolateral ischemia heart deases means?

A member asked:

Is st.depression of the heart the same thing as myocardial ischemia?

A member asked:

Two doctors found a suggestion of myocardial ischemia, had a heart cath and was clean? what does that mean if they both saw something?

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