Doctor insights on:
Mild Apical Ischemia
“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
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%?
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 ...Read moreSee 1 more doctor answer
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
Perfusion & fixed defects in the mid anteroseptal, inferoseptal, inferoapical , inferior, apical septal segments with new lbbb?Heart attack or artifact?
Reversible severe myocardial ischemia 9%,ef 65 % mild infero lateral wall hypokinesia (m,55yr,80kg), what does this mean?
Findings: The first thing it means is that the patient and his doctor need to have a discussion of his status and what further steps if any are necessary. The studies reported above suggest that the patient has coronary artery disease and likely needs diet, exercise, not smoking, medications and perhaps other steps. ...Read more
Had a cardiac mri. Finding: mild lv cavity dilation, normal lv systolic function; lvef 62%.Trivial pericardial & pleural effusion?
Sounds pretty normal: Ef is normal, tiny effusions are nothing to worry about. Was valvular function normal - ie no stenosis or regurgitation? Also, how much dilation? Was a volume given? Would followup with a cardiologist and make sure you optimize your therapy for high blood pressure among other conditions. The lv dilation and pericardial effusions could be followed with echocardiography. ...Read moreSee 1 more doctor answer
LVEF 41% at stress.reversible ischemia involving apicoanterior, distal anteroseptal..reduced, non reversible perfusion involving the mid basal.means?
I have a mod-lg pericardial effusion echo said slight hypokinesis posterior interventricular septum & inferior wall & reduced LV sys function. explain?
Get cardiac consult: The Echo findings you report -there is fluid around the heart - moderate to large in amount . The change in the motion of the heart and reduced LV function indicates the heart is not pumping normally . The result definitely warrants a consultation with a Cardiologist and some background history . You will likely need further tests ...Read more
Myocardial. Medium perfusion defect moderate intensity in basal mid inferior basal inferior partial reversibility. Ef54%. TID .97 abnormal redegenson.
Abnormal stress test: A "myocardial perfusion defect with reversibility" indicates that there is something reducing the blood supply to the heart muscle. Most commonly this would be because of atherosclerosis causing a blockage in the coronary artery. The next steps depend on the medical details. Additional testing, such as a catheter angiogram, may be needed. ...Read moreSee 1 more doctor answer
Nuclear stress test showed large reversible ischemic defect in apical portions of anteroseptal wall. What does reversible mean?
Blood Flow: The purpose of a stress test is to see if there any changes in circulation when your heart is put under some type of stress, usually exercise. Reversible in this case means that under stress, there is a portion of the heart that is not getting adequate blood flow. At rest, this blood flow returns. This can be a sign of a partially blocked coronary blood vessel. ...Read more
Heart disease: Angina means chest pain caused by the heart. This usually comes from clogged arteries. As the arteries initially clog, blood can still get around the blockage and is reversible. This can eventually progress to a worsening blockage where blood can't get around it. This usually results in what is known as a heart attack. Reversible is good but it's important to prevent it from getting worse. ...Read moreSee 1 more doctor answer
Reversible defect ant wall/apex. No fixed defects. Lv motion & thickning incl. Apex. Efr 55%. Ant/apical ischemia. Normal lv wall motion. What to do?
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
EF 60%, LVSF low normal. Apical and anterior hypokinesis cannot be excluded. Minimal MR and trace AR. Mild TR, mild PR. Is this concerning?
Ct corn angio- norm myocardial morphology/function.No plaque/stenosis.Mild myocardial bridge mid of LAD w/o significant attenuation of vessel.Explain?
Coronary angio: Simplest answer to your question is it is normal....Myocardial bridge without attenuation of vessel is normal variant. ...Read more
What does "mild concentric left ventricular hypertrophy, septum is akinetic & left ventricle is severely hypokinetic. " mean?
Recent repeated abnormal EKGs reflecting a stress pattern. Mild chest pain, sob. Echo showed mild concentric left ventricle hypertrophy. Now what?
Chest pain: Consult with your physician about the next step. There is a possibility that they will want to do a stress test to rule out any coronary artery disease since you are having chest pain and SOB and your 2D echo and EKG reflect left ventricular hypertrophy. It is always best to consult with the physician who ordered these tests as they ordered these tests for a reason. Good luck! ...Read more
Echo1.Old myocardial infraction (inferior+posterior+antero septal+apical)
2.Severe left ventricular systolic dysfunction. What medicine you prefer?
A few: Assuming no medication side effects and normal vital signs in addition to no comorbidities that may play into this- daily aspirin, a beta blocker, statin and often an ace inhibitor. Each patient may need different things based on what else is going on. Have a conversation with your doc about it ...Read more
What mean , Mild reversible myocardial ischaemia involving basal segments of inferior and inferolateral walls ?
Blocked arteries: This is used to describe blood flow to the heart. The fact that it is reversible indicates that you may benefit from intervention either stent or cabg. The next step is to verify the stress test results with cardiac Cath. The "culprit "vessel is likely right coronary or circumflex. ...Read moreSee 2 more doctor answers
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