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A member asked:
Unspecific septal hypokinesis on a scintigraphy can be false-pos? all other exams (echo, stress, holter, ekg) came normal. i'm 22yo w/ chest pains.
6 doctors weighed in across 2 answers
Septm somewhat Hypo: Septum is common wall to RT&LFT ventricle. In sinus rhythm (Holter nl) both Rt&Left Ventricle beat ess at same time. Sept moves sltly towards left, but mostlty THICKENS. The other walls more towards septum. More Import is LVEF (Eject Frction). No study perfect. Nl for scintigraphy is LVEF>50% (55%. Many beats averaged in both. All Sept R sl. hypo.
Answered 11/27/2017
1.8k views
Nuclear scan: There is a significant false positive nuclear scan rate. see http://www.acep.org/content.aspx?id=48977. Body habitus plays a role. Rarely there can be septal hypertrophy , though it is surprising it was not noted on echocardiogarm. What was the thickness of the septal wall on echo? Cardiac MRI/ CT angiogram may provide additional information. Discuss with cardiologist
Answered 4/23/2016
1.8k views
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