Question 1

what is the significance of anteroapical ischemia?

Accepted Answer

Location: Ischemia is a term meaning that that part of an organ (the heart in this case) is not getting enough blood and oxygen. Anteroapical just refers to the locasion of the blockage. Antero means front of, and apical refers to the apex of the heart, the part that is directed down and to the left, on the opposite side to the aorta.

Question 2

what is a fixed anteroapical defect?

Accepted Answer

: During a nuclear stress test we proceed to obtain pictures of the heart before and after exercise. If a defect is present at rest and post exercise we call it a fixed defect.meaning a scar or site of a previous heart attack

Question 3

what is typical treatment for someone who has moderate anteroapical ischemia.?

Accepted Answer

ASPIRIN: Beta blocker, ace inhibitor plus nitrates. If medical therapy fails, intervention via cath vs bypass recommended.

Question 4

there is reverse of redistribution in the mid to distal anteroapical wall which may represent ischemia, and left ventricular ejection fraction 60%, and fixed inferior wall defect  what do they mean?

Accepted Answer

Concern: you appear to have a limitation of blood flow to the heart during the stress of the test that you had as well as the possibility of a previous heart attack but with still good heart pump function currently. Please see your cardiologist for follow up of the limitation of blood flow seen on the current test

Question 5

mild fixed perfusion deficit in the distal  anterior/anteroapical wall. mildly enlarged left ventricle. mild global hypokinesis, with moderate hypokinesis of the inferior and apical walls. mildly low resting left ventricular ef of 45% post test 51%?

Accepted Answer

What's the question?: This result indicates a blockage with resultant heart muscle damage (prior heart attack) likely involving an artery known as the "LAD".  In this particular case the LAD is likely large with a "wrap around" to the apical inferior region.  A cardiac catheterization would be recommended to visualize the coronary arteries followed by possible stenting if the area is "viable" and not scarred

Question 6

anteroapical defect with reversibility may suggest ischemia. 6% pvc burden with bigeminy, trigeminy and couplets. 1-19 per 30 seconds. all valves regurgitating. right ventricle dilated. palpitations. help me understand what this means please?

Accepted Answer

: All of this warrants an evaluation by a cardiologist. You may have a significant coronary artery blockage to cause the reversible defect on stress testing. All 4 heart valves appear abnormal. Your right ventricle is weakened. You have worrisome &amp; high grade ventricular irritability (probably causing the palpitations)  which needs treatment. A cardiology electrophysiologist is best to evaluate this

Question 7

6% pvc burden 1-19per 30 sec. all valves leaking. right ventricle dilated. dr found a murmur + palpitations. anteroapical defect suggest ischemia. i feel pressure around my heart. nt-pro bnp test is 317. plus liver problems. what does this mean?

Accepted Answer

: In a follow-up to my prior suggestions, the elevated NT proBNP combined with liver pathology raises concern of a systemic disorder infiltrating your myocardium and liver. Amyloidosis  or,, sarcoidosis can do this. I regard your cardiac situation as complex &amp; I think you'd be best served by being evaluated at a department of cardiology at a university hospital where various specialists are availabl

Question 8

what is a septal akinesis ?

Accepted Answer

Lack of movement: Akinesia is the loss of normal movement, typically in reference to a muscle. AN a kinetic ventricular septum  is lack of movement in the portion of muscle between the two large chambers of the heart. This suggests that blood flow to this area of muscle may have been disrupted.

Question 9

i've been diagnosed with nonishcemic  congestive heart failure. my levf is >20% with severe global hypokenesis to akinesis.what is the life expectancy?

Accepted Answer

CHF: Your cardiologist is best qualified to answer your question. With the use of medications like ACE inhibitors, ARB's and the newer agent Ernesto, life expectancy with cardiomyopathy and reduced ejection fraction has improved in recent years. Cardiac ventricular assist devices and transplants have also extended life expectancy. Close follow-up by your cardiologist is crucial.

Question 10

am i dying?

Accepted Answer

Yes: Yes, we are all in the process of dying, only the rate of change is unknown

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Doctor answers about:

What is anteroapical akinesis

A member asked:

What is the significance of anteroapical ischemia?

A member asked:

What is a fixed anteroapical defect?

A member asked:

What is typical treatment for someone who has moderate anteroapical ischemia.?

A member asked:

There is reverse of redistribution in the mid to distal anteroapical wall which may represent ischemia, and left ventricular ejection fraction 60%, and fixed inferior wall defect what do they mean?

A member asked:

Mild fixed perfusion deficit in the distal anterior/anteroapical wall. mildly enlarged left ventricle. mild global hypokinesis, with moderate hypokinesis of the inferior and apical walls. mildly low resting left ventricular ef of 45% post test 51%?

A member asked:

Anteroapical defect with reversibility may suggest ischemia. 6% pvc burden with bigeminy, trigeminy and couplets. 1-19 per 30 seconds. all valves regurgitating. right ventricle dilated. palpitations. help me understand what this means please?

A member asked:

6% pvc burden 1-19per 30 sec. all valves leaking. right ventricle dilated. dr found a murmur + palpitations. anteroapical defect suggest ischemia. i feel pressure around my heart. nt-pro bnp test is 317. plus liver problems. what does this mean?

A member asked:

What is a septal akinesis ?

A member asked:

I've been diagnosed with nonishcemic congestive heart failure. my levf is >20% with severe global hypokenesis to akinesis.what is the life expectancy?

A member asked:

Am i dying?

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