Recently had a nuclear stress test and results stated possible small focus of ischemia of the mid anterior wall. ejection fraction 59%?

Well...: If you had the Nuclear Stress test because you were having chest pains, you must discuss with your cardiologist the possible need for an angiogram....

Ejection fraction nl: An ejection fraction the 59% means that the pumping function of your heart is normal. A "possible small focus of ischemia of the mid-anterior wall" can mean that when you're exercising not enough blood flow gets through to a small area of your heart. Usually a test result like that will lead to a cardiac catheterization to see if there is a significant blockage of an artery to the heart muscle.

Small focus ischemia: Are you having symptoms? If it is only small area of mild ischemia then lifestyle modification such as diet and exercise and close follow-up may be appropriate. It is important to know the entire clinical history.