Doctor insights on:
Apical Ischemia Heart
Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia
Here are some...: A 400-letter space is impossible to address many indicated subjects as questioned here. Why not type in the terms as keywords to search online? Thereby you surely gain a lot of pertinent information to feed your appetite of knowledge. Or you may just ask your doc who should be able to answer your questions to the point much easier. ...Read more
“stress-induced ischemia of anteroseptal wall apex, basal inferoseptal wall, ischemic cardiomyopathy w/severe L ventricular systolic dysf, ref 30%.
Not good: You need a close follow up with a cardiologist for the rest of your life, if you smoke, try to quit ASAP ...Read more
Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?
Cv words: These all refer to cardiovascular particulars. Pectoris = Chest. Atherosclerosis = vascular wall scarring from cholesterol deposit. Coronary artery disease = narrowing and atherosclerosis of heart arteries. Dilate = expand diameter. Hypertension = high blood pressure (within arterial network). Myocardial = heart. Angina pectoris = pain of chest from coronary artery disease, lack of oxygen to heart ...Read more
ABNORMAL MYOCARDIAL PERFUSION STUDY: SMALL SIZED REVERSIBLE PERFUSION DEFECT INVOLVING APICAL INFEROLATERAL SEGMENT AND APEX OF LEFT VENTRICLE?
Arterial blockage.: Ischemia in areas of the heart, as you have related, infers that the arteries that feed these parts of the heart are narrowed such that blood flow through them reduces with exertion. It means these areas of the heart are vulnerable and further testing is needed and intervention may be necessary. ...Read moreSee 1 more doctor answer
Ischemia...: Most hearts have physiologic apical thinning which can sometimes be misinterpreted on nuclear stress test images. In addition, stress test images in patients with left bundle branch block can appear as septal ischemia if exercise stress is done rather than pharmacologic. The fact that both the apex and septum are involved in your case make it more likely to be real ischemia probably in lad. ...Read moreSee 1 more doctor answer
Perfusion & fixed defects in the mid anteroseptal, inferoseptal, inferoapical , inferior, apical septal segments with new lbbb?Heart attack or artifact?
Unknwon.: Although there have been suggestive studies that showed coronary plaque regression, most data is focused on plaque stabilization. As long as the plaque is stable and the symptoms controlled, it is not essential that we "revers" atherosclerosis. In the future, cetp modifying drugs may prove to reverse plaque. Only time will tell. ...Read moreSee 1 more doctor answer
Unhappy heart: The anterior, posterior or inferior all come together at the tip-apex. Septal and usually the -tip of the heart is not getting adequate coronary blood flow. Usually left anterior descending artery blockage. Septal is the inner wall of muscle between the ventricles. ...Read moreSee 1 more doctor answer
Ischemia...: Although people have varying coronary anatomy, the septum and apex are most commonly supplied by the left anterior descending (lad) artery. Usually ischemia is characterized by extent, severity, and degree of reversibility. For mild ischemia, sometimes medical management is the appropriate treatment. For extensive, severe ischemia, a more invasive procedure may be necessary. See your doctor. ...Read moreSee 2 more doctor answers
Depends: Sinus bradycardia can be normal in a fit individual. Septal infarct age undetermined may also be a normal variant, but also possibly indicate previous injury to the heart. You might want to consider getting further evaluation, such as a stress treadmill ECG test. Depending on various associated healthy issues, this might need to be combined with imaging (nuclear or ultrasonography). ...Read more
Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global.Is my heart ok?
More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis? ...Read moreSee 1 more doctor answer
Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?
Chest pain. Ekg, d-dimer, asa, chest xray, ESR "normal". Echo says "restrictive pattern lv diastolic fill". Anxious re risk of cad/athero & heart attack. ?
Atrial fibrillation?: Most common cardiac dysthymia on the general population. Affect over 2 million people in usa. Incidence increase with age. Associated with hypertension, coronary artery disease, valvular heart dz, hyperthyroidism, copd, alcohol intake. Can be sustained or episodic. Need physical exam and ECG for diagnosis. Many patients are asymptomatic. Symptoms like: palpitations, chest pain, shortness ofbreath. ...Read more
A problem: The heart is like a room with sides. These have anatomical names: anterior posterior septal the anterior-septal is at a junction. Ischemia is a sign of reduced blood flow with exercise( induced) or a chemical. It may require medication and even surgery to eliminate. ...Read moreSee 1 more doctor answer
Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p,no blocks,but mild elevated EDP/LBBB. EF 55%. Doc says nothing to worry about no restirctions. Y?
Yes and no: EF of 55% is normal. Your breathing issues are due to diastolic dysfunction, dys-synchrony, and (by inference as there are no direct tests) small vessel CAD. You're not at risk of a classical heart attack (MI). There are no restrictions. I would vigorously treat blood pressure with an ACE inhibitor, and urge you to use a statin regardless of cholesterol level, and take 81 mg of aspirin daily. ...Read moreSee 1 more doctor answer
Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p,no blocks,but mild elevated EDP/LBBB. Is this causing dyspnea and exercise intolerance? Help?
Yes: Elevated EDP indicates left ventricular dysfunction. You did not report what your ejection fraction (EF) is - it's crucial. Your EDP may be elevated from systolic and/or diastolic dysfunction. Moreover, LBBB causes dys-synchrony which further compromises LV function. Both abnormalities you list will result in impaired functional capacity manifested as exercise intolerance. ...Read moreSee 1 more doctor answer
What isa a small reversible defect invovling the apical anterior wall, that is consistant with possible ischemia this person did have open heart sugery in the past 6 yrs and has had some fainting spells and all over does not feel well, also takes blood pr
Concern: Suggests an area of low blood flow if the open heart surgery was coronary bypass, then a graft or additional vessel may be compromised/ or it could be old scar and confusing the picture worth a real diagnosis and cath depending on other personal history. ...Read moreSee 1 more doctor answer
Stress echo showed ischemia in anteroseptal n apical septal walls n the apex.Next week is the Heart CATH.could it be normal arteries n echo was wrong?
Plaque rupture: Most are progressive narrowing to the point of serious impairment of coronary blood flow with exercize etc. Causing angina or heart attack some are acute thrombus on a plaque or elevation of the plaque like a trap, door- dissection or rupture of the built up area of disease. ...Read moreSee 1 more doctor answer
If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? Have I ever had an heart attack before?
What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall , what that means have I every had an heart attack before?
Ischemia with stress: Hi. Without seeing the test done or the report, we can't say whether or not you've had a heart attack before. At the least, when you exercise and heart muscle oxygen demand goes up, not enough oxygen gets to the anterior wall and the septum to meet the demand. You need coronary angiography, and may need a stent or a bypass operation; you'll need medical therapy in any event. Ask your cardiologist ...Read more
Angina and MI: If you really have ischemia at the apex, there may be no consequences if it's chronic. Over-exertion could potentially cause angina. If it's unstable, a heart attack (mi) could result. But be aware that shifting soft tissue on nuclear stress testing often leads to a reading of "a small area of apical ischemia" which is a false positive due to technical issues. Is your "ischemia" confirmed by cath? ...Read more
What is the outcome and process if you are diagnosed with mod to severe ischemia of inferior heart. what is next ?
Can you tell me what reversible ischemia in the basal and mid inferior walls of the heart means please?
"Significant" block: Infer you have had an imaging study, using exercise or a pharmacologic agent to induce or provoke ischemia, and then using an imaging agent like a radioactive tracer, to show blood flow distribution. Subtracting a resting image from the "stress" image shows what areas have inadequate blood flow. Since the blood comes from the coronary arteries, a reversible image implies partial, not total, block. ...Read more
I get angina from low blood flow to the heart when upright exercise because of dysautonomia. No blockages. Will transient ischemia cause any damage?
Yes, it can if : left untreated, or keeps occurring, you may want to ask your doctor / cardiologist about prophylaxis, medications as nitroglycerin before exercise or the long acting form, meanwhile you want to refrain from exercise that would cause you anginal pain, wish you well and good luck ...Read more
If I've ischemia from a vasospasm &constant chest pain, does that do permanent damage? Can all heart damage be seen?Does heart RECOVER from ischemia?
Cardiologist.: Hopefully you're seeing a Cardiologist who has already answered your questions. If not, use HealthTap Prime to relay your concerns & get a referral. By definition, ischemia (if that is what it is) causes identifiable damage to organs; but you are too young to have ischemia. What is your diagnosis? The medical concept of "hibernating myocardium"- muscle that can be revived after ischemia- applies. ...Read more
Two doctors found a suggestion of myocardial ischemia, had a heart cath and was clean? What does that mean if they both saw something?
Tests: tests are not always 'right'. Whatever test was interpreted as 'suggestion of ischemia', was likely not specific in this case ...Read more
Had perantine cardio. Stress test 2 wks. Ago. Diagnosis-ischemia of apex. Had heart cath. Today. No blockages. What could be causing chestpain. ?
Chest pain: There are many possible causes of chest pain including small vessel disease which doesn't show up on angiogram but can cause perfusion image abnormalities. You should discuss your symptoms and data with the physicians who know you and get their impression of what the cause of your chest pain is. ...Read more
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