Doctor insights on:
Mild Apical Ischemia
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 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
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
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
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
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
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
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
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
Infraction with superimposed ischemia involving mid inferolateral wall/apical lateral wall-dr. Wants me to do angioplasty, I'm confused -should I go?
Ischemia: Sounds like you should listen to your doc. ...Read more
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
Stress test show positive for ischemia involving the anteroseptal and apical septal walls and the apex. Also four beat runs of V-tach. Please explain?
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?
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
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
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
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?
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
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
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
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
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