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Silver Creek, NY
A 27-year-old male 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%?

2 doctor answers5 doctors weighed in
Dr. Sameer Azhak
Cardiology 19 years experience
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
Dr. Raeford Brown
Anesthesiology 41 years experience
Coronary disease: These findings could reflect coronary disease with the possible suggestion of an old myocardial infarction. If the patient is 27 years old an evaluation of the lipid profile is required. Coronary angiography will likely be a next step..

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