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Doctor insights on: Mild Apical Ischemia

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I have told that I have induced ischemia in the anteroseptal wall, what dose she means?

I have told that I have induced ischemia in the anteroseptal wall, what dose she means?

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 more

Dr. Cynthia Thaik
1,920 Doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity, an organ, or brain which ...Read more


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I have mild apical ischemia 54%, echo ef 55%, mild tr, rvsp 30-40, and right bundle branch block. Can you explain what this means?

I have mild apical ischemia 54%, echo ef 55%, mild tr, rvsp 30-40, and right bundle branch block. Can you explain what this means?

Coronary artery dise: Apical ischemia means - abnormal stress test needed eval. Clinically /possible coronary intervention and treatment medically or with intervention/medical eval for lipids, diabetes. Need to discuss with your physician for further course of treatment ...Read more

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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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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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What is the significance of apical ischemia?

Location& blood flow: It depends. S the ischemia reverisble or irreversible? Was it detected on a nuclear stress test? Assume it's reversible as seen in a nuclear stress test. Apical refers to the location - at the apex. As for significance, along with other indications, I might suggest a clinical correlation via an angiogram or ccta. The significance could not be determined without a cath or cct. ...Read more

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My images suggest apical septal ischemia?

My images suggest apical septal ischemia?

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 more

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Apical lateral wall ischemia causes what?

Ischemia: Ischemia of any part of the myocardium can be associated with angina, arrhythmia, ventricular dysfunction and infarction. ...Read more

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My nuclear images suggest apical septal ischemia.

My nuclear images suggest apical septal ischemia.

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 more

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Does moderate ischemia in the apical mid anterior wall mean blockage in the lad?

Likely: The anterior and apical regions are typically supplied by the LAD and ischemia in these territories is usually due to significant tightening or blockage of the artery. ...Read more

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Results of a stress test it came back with a v small apical infarction with some peri-infarct ischemia noted what does that mean?

Results of a stress test it came back with a v small apical infarction with some peri-infarct ischemia noted what does that mean?

Question? Consult!: These little boxes are not good for answering specific patient case problems. Consider a cardiology consultation here on HealthTap. The kind of consult where you ask for help within the next 24 hours works particularly well for a complex case because it enables emailing back and forth with the details. ...Read more

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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?

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?

Perfusion report: Need to discuss with your dr. Generally with those data weight loss, low fat diet, no smoking, 30min minimum aerobic exercise daily, continue BP control, other meds might also be considered but should discuss choices and meaning of data with dr. ...Read more

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Not overweight, healthy diet, EF 55%, LV normal size & function, BP 119/63, (sob) stress results moderate to severe ischemia anterior/apical wall mostly reversible. Cath scheduled in 4 days. How bad?

Not overweight, healthy diet, EF 55%, LV normal size & function, BP 119/63, (sob) stress results moderate to severe ischemia anterior/apical wall mostly reversible. Cath scheduled in 4 days. How bad?

Cardiac response: This clearly concerns me but you are doing the right thing and dealing with the problem urgently. Catheterization is definitely recommended. Unfortunately Cardiac disease also has a strong genetic component that may be present. Is your cholesterol normal and are you exercising adequately? Hopefully, you are also consulting with a cardiologist as well. ...Read more

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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

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 more

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Nuclear Stress w/ Lexiscan shows moderate to severe ischemia anterior/apical wall. Cath scheduled, doc thinks no blockage, why? I have LBBB; no other defects LV normal size and function, 50% EF. Y?

Nuclear Stress w/ Lexiscan shows moderate to severe ischemia anterior/apical wall. Cath scheduled, doc thinks no blockage, why? I have LBBB; no other defects LV normal size and function, 50% EF. Y?

Need cath: I do not know why the doc feels no blockage. If the stress is abnormal you need to clear up why this is. If you are having these tests, you have had to have had symptoms. 50% Ef is good and the echo being normal does not tell us why. Have the cath. Males are more likely to have abnormal caths and may require some intervention. ...Read more

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Male 65 pain L jaw/arm/chest, nuclear stress apical ischemia, angiogram neg, cardiolo says all ok. Sternum pain, clutching worsening w/anxiety/cancer?

Male 65 pain L jaw/arm/chest, nuclear stress apical ischemia, angiogram neg, cardiolo says all ok. Sternum pain, clutching worsening w/anxiety/cancer?

YOU ARE OK: A NEGATIVE ANGIOGRAM MEANS NO SIGNIFICANT BLOCKAGES IN YOUR CIRCULATION IN YOUR HEART. THEREFORE, YOU CAN BE REASSURED THAT YOU HAVE NO SIGNIFICANT HEART DISEASE. THE SYMPTOMS MAY BE DUE TO A MUSCULOSKELETAL PROBLEM IN THE AREA OF THE HEART OR DUE TO RESPIRATORY (BREATHING) ISSUES OR DUE TO ANXIETY. TALK TO YOUR FAMILY DOCTOR ABOUT YOUR CONCERNS AND HE/SHE CAN HELP YOU OR FURTHER REASSURE YOU. ...Read more

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What is the significance of a mild ischemia?

What is the significance of a mild ischemia?

Poor perfusion: Ischemia is caused by low or inadequate blood flow and oxygen delivery to a tissue:
heart attack
stroke
amputation
renal failure
are sequellae of ischemia
needs workup and treatment! ...Read more

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What is the significance of mild reversible ischemia?

What is the significance of mild reversible ischemia?

Coronary narrowing: Ischemia (which is found on a stress test) connotes heart muscle not getting enough blood flow to meet its needs. Mild ischemia implies that the defect showing up on stress test is more subtle, i.e. That there is slightly less blood flow to the area during stress than at rest. It usually means the severity of underling narrowing is less, though by definition it is still enough to limit flow. ...Read more

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Hi what is mild ischemia in the apico septal and distal septal wall. Thanks?

It sounds like you: Are referring to the results of a nuclear stress test. These findings would indicate that you have a blockage in the main artery feeding the front part of your heart down near the tip and involving part of the wall between your ventricles. Whoever ordered your test should review these findings with you since he/she will have your full clinical history available. Meanwhile don't exert excessively. ...Read more

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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

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Person has mild irreversible myocardial ischemia basal2/3of lateral, basal 2/3 of inferior and inferoseptal wall. How it can be treated and wt it mean?

See below: This suggests that there is a blockage in one of the arteries in your heart. Frequently the next step is a cardiac cath to further evaluate this. Discuss with your doctor and see a cardiologist for further recommendations. ...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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What exactly is mild small vessel ischemia?

Poor circulation: Thru small blood vessels typically involving calf and foot, or hands. May be due to blockage (commonly diabetes), spasm, extreme temperature change, ...Read more