Question 1

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 2

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.

Question 3

what to do if i had a stress test done .the results said potential ischema in the apical septal area?

Accepted Answer

Cardiology needed: It seems to be a mild problem and probably nothing more needs to be done. However, this should be discussed with a cardiologist, because, in the right clinical settings (refractory chest pain for example) may prompt to coronary angiogram.

Question 4

echo said apical/distal septal region appears very mildly hypokinetic ef is 67% what does this mean ?

Accepted Answer

: That echo finding is usually the result of myocardial damage, most often from a myocardial infarction ( heart attack?silent). A resting EKG may show evidence of this in limb lead 1 and chest leads V1,V2,V3&amp;V4.  Your echo finding appears equivocal,however. To exclude significant coronary artery disease,I recommend a stress echo or nuclear stress test. A cardiologist can evaluate you &amp;schedule these

Question 5

results from a nuclear stress test:
abnormal perfusion study with severe partly reversible distal septal and apical defect, small in size.

Accepted Answer

You should have: a followup visit with the cardiologist that ordered this study.  Best if you follow his/her recommendations for diagnosis and treatment given the complexity of stress testing and the difficulty in interpreting results without any clinical knowledge of the patient in question.   This medium is not a suitable place to give interpretations of complex studies such as these.  Thanks for trusting in HT.

Question 6

echo1.old myocardial infraction (inferior+posterior+antero septal+apical)
2.severe left ventricular systolic dysfunction. what medicine you prefer?

Accepted Answer

A few: Assuming no medication side effects and normal vital signs in addition to no comorbidities that may play into this- daily aspirin, a beta blocker, statin and often an ace inhibitor. Each patient may need different things based on what else is going on. Have a conversation with your doc about it

Question 7

stress test show positive for ischemia involving the anteroseptal and apical septal walls and the apex.also four beat runs of v-tach. please explain?

Accepted Answer

Stress test abnormal: It appears there is a    narrowing in an artery feeding the part of the heart described in the report

Question 8

my stress echo test noted: apical septal wall segment is hypokinetic (score 2). the apical anterior wall segment is hypokinetic (score 2). my ef score was 65-70.  a subsequent nuclear stress echo found normal function. what does this mean?

Accepted Answer

: The tests do not  “see” the same things., Stress echo is very operator dependent.  Or the segments see on echo are not big enough to show up  on nuclear are some  of the possibilities . Go to uptodate.com and read more then discuss with your Dr who knows more about u than we do.

Question 9

perfusion & fixed defects in the mid anteroseptal, inferoseptal, inferoapical , inferior, apical septal segments with new lbbb?heart attack or artifact?

Accepted Answer

Perfusion defect: If stress test done with chemical, the probably not artifact.

Question 10

had an abnormal ekg that said septal myocardial infarction probably old. my nuclear stress test showed 92% ejection fraction at rest and 80% post stress left ventricle, medium defect in the mid anterior apical wall minimally reversible. meaning??

Accepted Answer

: Looks like you have pretty good function and a heart that will last a long time if you follow your docs treatment advice. The ejection fraction is the amount of the chambers volume that is pushed out successfully per beat &amp; that was good.

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Doctor answers about:

What is septal and apical and hows it treated

A member asked:

My images suggest apical septal ischemia?

A member asked:

My nuclear images suggest apical septal ischemia.

A member asked:

What to do if i had a stress test done .the results said potential ischema in the apical septal area?

A member asked:

Echo said apical/distal septal region appears very mildly hypokinetic ef is 67% what does this mean ?

A member asked:

Results from a nuclear stress test: abnormal perfusion study with severe partly reversible distal septal and apical defect, small in size.

A member asked:

Echo1.old myocardial infraction (inferior+posterior+antero septal+apical) 2.severe left ventricular systolic dysfunction. what medicine you prefer?

A member asked:

Stress test show positive for ischemia involving the anteroseptal and apical septal walls and the apex.also four beat runs of v-tach. please explain?

A member asked:

My stress echo test noted: apical septal wall segment is hypokinetic (score 2). the apical anterior wall segment is hypokinetic (score 2). my ef score was 65-70. a subsequent nuclear stress echo found normal function. what does this mean?

A member asked:

Perfusion & fixed defects in the mid anteroseptal, inferoseptal, inferoapical , inferior, apical septal segments with new lbbb?heart attack or artifact?

A member asked:

Had an abnormal ekg that said septal myocardial infarction probably old. my nuclear stress test showed 92% ejection fraction at rest and 80% post stress left ventricle, medium defect in the mid anterior apical wall minimally reversible. meaning??

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