Doctor insights on:
Apical Ischemia Heart
The heart is like a room with sides.
These have anatomical names:
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 more
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
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 more
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?
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 more
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?
Heart cath: A heart catheterization followed by intervention (likely angioplasty with stenting) if indicated. If the problem is more severe than initially suspected, bypass surgery may be recommended to improve life expectancy. ...Read more
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
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
I just had a ecg today and it said on the sheet Sinus rhythm, left ventricular hypertrophy, ant/septal and lateral ST-T changes may be due to hypertrophy and/or ischemia, abnormal ecg. My doctor told me my heart was ok! I had a quad by pass 1 year ago als
ABN ECG after Bypass: Doctor prob means there's no ECG changes from a year ago. ECG was prob abn before Bypass, & worse after. Important questions are answered on Stress test & Echo, & not unreasonable to have a year after Bypass. Important questions are whether you experience unexplained breath shortness or chest/arm discomfort w exertion. Once an ECG is abnormal one can only compare with previous ones (weak test) ...Read more