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Doctor insights on: Apical Ischemia Stress Test

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I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia .

I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia .

Clinical correlation: Deciding best treatment option for you really depends on your symptoms...in other words, why did you have the stress test? Chest pain? Shortness of breath, etc? Second, treatment ought to be guided by risk/benefit analysis of intervention vs medical treatment. You need to have a candid discussion with a qualified cardiologist to ascertain best next step, and intervention, if any. ...Read more

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Dr. Heidi Fowler
3,003 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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Recent stress test shows mild ischemia anterobasally and distal apical laterally. What does it mean exactly?

Recent stress test shows mild ischemia anterobasally and distal apical laterally. What does it mean exactly?

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 more

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I had a stress test done and the results were mild ischemia in the basal septum. Apical thinning. Lvef of 75%. Should i be concerned?

I had a stress test done and the results were mild ischemia in the basal septum. Apical thinning. Lvef of 75%.  Should i be concerned?

Abnormal Stress Test: This test suggests abnormal blood supply to the heart itself and requires follow up with your cardiologist and additional testing at the minimum. ...Read more

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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?

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 more

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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?

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 more

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If i had inferior ischemia... Stress test & echo would've showed something right?

If i had inferior ischemia... Stress test & echo would've showed something right?

Presumably.: A negative nuclear or chemical stress test should rule out ischemia with 95% confidence. Not 100% confidence, 95%. There's always the possibility for false negative results - if clinical suspicion is really high and the test is negative, more testing may still be in order to really be sure. Echo not reliable enough unless damage to the heart has already occurred. ...Read more

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So i had stress test done it ame back ok but they said i had reversible ischemia what's that mean am i gonna die? And had 10% positives in the test

Coronary angiogram: Reversible ischemia means that when you exercise part of heart muscle is deprived of blood supply. You are not going to die, but should consult with a cardiologist to see if you need coronary angiogram. Your heart should be at resting stage. Avoid any exercise until you have the work up done. Stress test can be sometime wrong. At age 31 i dont expect you to have coronary artery disease. ...Read more

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I had a nuc stress test and dr. Told me it was negative, but i was recently declined for insurance due to mild ischemia. Is test neg? What should I do

I had a nuc stress test and dr. Told me it was negative, but i was recently declined for insurance due to mild ischemia. Is test neg? What should I do

May be artifact: Get full report from test. Some minor fixed defects are often attributed to artifact, and have no clinical significance. Check with your doc, and you may be able to challenge the insurance co decision. ...Read more

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Whats the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

Whats the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

Trust or 2nd opinion: Follow your doctors advice. If he feels there is no evidence of myocardial ischemia, and that no further testing is warranted, then either trust what he tells you or seek a second opinion. You have every right to get a second opinion if you wish, and if the 2nd opinion concurs with the first, you should not worry. ...Read more

Dr. Bernard Seif
3 doctors shared insights

Stress Test (Definition)

A stress test is a cardiac test which can include walking on a treadmill and monitoring your heart while you are walking. They can also inject you with a nuclear material and do a more comprehensive scan on your heart to check for blockage. They can also do a chemical stress test which omits the need to ...Read more


Dr. Cynthia Thaik
1,907 doctors shared insights

Ischemia (Definition)

Ischemia is a symptom in which a person does not have enough blood supply to a part of the body, making that part of the body "ischemic". For example, in a heart attack, a coronary artery is blocked so blood cannot get to the heart muscle beyond the blockage point. The heart muscle lacking ...Read more