Question 1

i have mild apical ischemia 54%, echo ef 55%, mild tr,rvsp 30-40, and right bundle branch block. can you explain what this means ?

Accepted Answer

Coronary artery dise: Apical ischemia means - abnormal stress test needed eval. clinically /possible coronary intervention and treatment medically or with intervention/medical eval for lipids ,diabetes. Need to discuss with your physician for further course of treatment

Question 2

i am 65 yrs old and my test show mild anterior apical ischemia ef 76% stress test abnormal for mild ischemia .

Accepted Answer

Clinical correlation: Deciding best treatment option for you really depends on your symptoms...in other words, why did you have the stress test? Chest pain? Shortness of breath, etc? Second, treatment ought to be guided by risk/benefit analysis of intervention vs medical treatment. You need to have a candid discussion with a qualified cardiologist to ascertain best next step, and intervention, if any.

Question 3

i had a stress test done and the results were mild ischemia in the basal septum. apical thinning. lvef of 75%.  should i be concerned?

Accepted Answer

Myocardial ischemia: Ischemia in a 36 year old is serious. Have you seen a cardiologist? What kind of stress test did you have done? Do you have chest pain?

Question 4

i just had a nuclear stress test and one of the conclusions was: small size mild intensity reversible perfusion defect of the inferoapical segment with extension into the lateral apical segment consistent with ischemia. what does that mean?

Accepted Answer

: It sounds like part of your heart is not perfusing with blood.  No permanent damage yet but needs to be evaluated and treated to prevent a myocardial infarction in the future.

Question 5

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 6

i had an abnormal nuclear stress test.what does it mean if i have ischemia in the apical regions of the myocardium.and it says. mild lae,mild clvh,nllvsf/ef 60-65%,mild aov sclerosis s stenosis,nl ivc.i don't understand it all?

Accepted Answer

: Never use abbreviations in medical communications. Mean different things to different Drs and can be fatal. It means blood is no getting to par of your hear muscle (ischemia) at the pointy end of you heart.  Discuss with Dr who has seen report and knowns you. If you smoke stop.

Question 7

what is the significance of apical ischemia?

Accepted Answer

Location& blood flow: It depends. S the ischemia reverisble or irreversible? Was it detected on a nuclear stress test? Assume it's reversible as seen in a nuclear stress test.Apical refers to the location - at the apex.As for significance, along with other indications, i might suggest a clinical correlation via an angiogram or ccta. The significance could not be determined without a cath or cct.

Question 8

my images suggest apical septal ischemia?

Accepted Answer

Septal ischemia: It is suggestive of you have high likelihood of having coronary artery disease (block in heart artery). Management (medical therapy vs invasive method) depends on size of the defect and burden of ischemia. Consult your physician.

Question 9

apical lateral wall ischemia causes what?

Accepted Answer

ischemia: Ischemia of any part of the myocardium can be associated with angina, arrhythmia, ventricular dysfunction and infarction.

Question 10

my nuclear images suggest apical septal ischemia.

Accepted Answer

Nuclear images: Apical defects on perfusion scans can be left anterior descending disease or can sometimes be false positive. If the patient has no symptoms then diet, exercise, statins and perhaps other meds could be indicated. Talk with your doctor.

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Doctor answers about:

Mild apical ischemia

A member asked:

I have mild apical ischemia 54%, echo ef 55%, mild tr,rvsp 30-40, and right bundle branch block. can you explain what this means ?

A member asked:

I am 65 yrs old and my test show mild anterior apical ischemia ef 76% stress test abnormal for mild ischemia .

A member asked:

I had a stress test done and the results were mild ischemia in the basal septum. apical thinning. lvef of 75%. should i be concerned?

A member asked:

I just had a nuclear stress test and one of the conclusions was: small size mild intensity reversible perfusion defect of the inferoapical segment with extension into the lateral apical segment consistent with ischemia. what does that mean?

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:

I had an abnormal nuclear stress test.what does it mean if i have ischemia in the apical regions of the myocardium.and it says. mild lae,mild clvh,nllvsf/ef 60-65%,mild aov sclerosis s stenosis,nl ivc.i don't understand it all?

A member asked:

What is the significance of apical ischemia?

A member asked:

My images suggest apical septal ischemia?

A member asked:

Apical lateral wall ischemia causes what?

A member asked:

My nuclear images suggest apical septal ischemia.

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