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Doctor insights on: Myocardial Biopsy

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What confirms myocardial infarction?

What confirms myocardial infarction?

Toponins,clinic,wall: Acute cardiogenic shock, .Ventricular arrythmias, infarct syndrome, flash pulmonary edema, wall motion abnormalities, syncope, presyncope, cardiac arrest, . It takes 4 hours for troponins to elevate after the infarct begins. That is why clinical symptoms dictate emergent coronary interventions. Troponins may still be normal within minutes of a life threatening myocardial infarct. ...Read more

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Dr. James Krick
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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What is myocardial perfusion scintigraphy?

What is myocardial perfusion scintigraphy?

Let me try to: Myocardial perfusion scan is a nuclear medicine procedure that illustrates the function of the heart muscle (myocardium). It evaluates many heart conditions from coronary artery disease to hypertrophic cardiomyopathy and myocardial wall motion abnormalities. The function of the myocardium is also evaluated by calculating the left ventricular ejection fraction (lvef) of the heart. Good luck. ...Read more

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Myocardial infarction treatment?

Myocardial infarction treatment?

See a doctor: Anyone who has had a heart attack/mi should be under the care of a physician who can evaluate their risks, cardiac status and prescribe the appropriate treatments. ...Read more

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Is it safe to smoke after a myocardial perfusion scan thallium scan cardiac nuclear imaging?

Is it safe to smoke after a myocardial perfusion scan thallium scan cardiac nuclear imaging?

Well...: Since you had a cardiac nuclear scan, I assume your doctors were looking for coronary artery disease. You seem to be a smoker, which makes artery disease worse. So smoking is not a good thing for you, and you should try to stop. Having said that, you are probably not in any more immediate risk for heart problem for smoking after the nuclear exam. Long term risks are greater with smoking. ...Read more

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Can angio cardiac CT detect angina?

Can angio cardiac CT detect angina?

No: Angina is a clinical symptom. The angiogram r cardiac ct are both imaging studies. We can look at imaging studies and suggest that there is narrowing of the coronary arteries which may cause angina. ...Read more

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Coronary angiography revealed 100% blockage. What is tthe prognosis?

Coronary angiography revealed 100% blockage. What is tthe prognosis?

Depends on location: A 100% blockage means that a vessel is totally occluded. It means that (usually) there is atherosclerosis. The effect to the person who has a 100% blockage is highly variable. The insult to the heart may be a full blown heart attack to absolutely no symptoms and no damage depending on the size, location, and presence or absence of collateral blood vessels. ...Read more

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Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Test Result: I find it is best to discuss any test result with the physician who did the test or ordered the test. They can interpret it knowing all the clinical history involved and tell you exactly what is going on. ...Read more

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What is an unrecognized non-q-wave myocardial infarction?

What is an unrecognized non-q-wave myocardial infarction?

Q vs. non-Q: When a heat attack causes a full thickness ("transmural") heart attack, the ekg reveals the resulting scar by inscribing a "q" wave in the leads that correspond to the damaged area. If the heart attack was not transmural or occurred in an area not seen well on ekg, there may be no q waves. If you had no symptoms at the time of the heart attack (25-50% of all attacks), it will be "unrecognized.". ...Read more

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What conditions does a myocardial biopsy detect?

What conditions does a myocardial biopsy detect?

Myocardial biopsies: Myocardial biopsies can be used to diagnose a number of things microscopically, including transplant rejection (in patients with heart transplant), inflammation (myocarditis), drug toxicity, and causes of hypertrophic or restrictive cardiomyopathy (for example, amyloid,hemochromatosis, sarcoid or other more rare conditions). Neoplasms (benign or cancer) can also be diagnosed. ...Read more

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What is a nuclear myocardial perfusion study?

What is a nuclear myocardial perfusion study?

Stress Test: That uses a radioactive tracer to evaluate blood flow in the coronary arteries. Images are taken at peak exercise and at rest . These images are able to compare blood flow to the heart in specific territories supplied by each coronary artery and any flow disparity would be consistent with a potential blockage in that artery. ...Read more

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Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Here are some...: A 400-letter space is impossible to address many indicated subjects as questioned here. Why not type in the terms as keywords to search online? Thereby you surely gain a lot of pertinent information to feed your appetite of knowledge. Or you may just ask your doc who should be able to answer your questions to the point much easier. ...Read more

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Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

See details: Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer. ...Read more

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Bronchoscopy with biopsy of lung nodules was done, biopsy result shows normal bt bronchial washing shows poorly differentiate cancer, confused?

Bronchoscopy with biopsy of lung nodules was done, biopsy result shows normal bt bronchial washing shows poorly differentiate cancer, confused?

See below: I'm not sure how your procedure was done, but nodules can be very difficult to biopsy, depending on size and if any type of imaging guidance is used. So in your case, the biopsy may have only gotten normal lung tissue and the nodule itself wasn't biopsied. The washing gets a large area - normal tissue and where the nodules are. It is sent for cytology. the Biopsy would be for histology. ...Read more

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Pigmented lesion . In face..Recent increase size..Irregular border....Biopsy reveals malignant cells infiltration ...Whats diagnosis plz?

Pigmented lesion . In face..Recent increase size..Irregular border....Biopsy reveals malignant cells infiltration  ...Whats diagnosis plz?

Can be melanoma.: This sounds like melanoma. You're lucky to have found this out on biopsy, as removal of this can be 100% curative. It's really smart to talk this over with your doctor, as well as the treatment options so you know what you're dealing with. ...Read more

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Which lab test can diagnose an acute myocardial infarction?

Which lab test can diagnose an acute myocardial infarction?

MI: after history and physical examination, the electrocardiogram is the first test we go to. Beyond that are a lot of other possible tests. ...Read more

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What conditions does a myocardial biopsy detect?

Myocardial biopsies: Myocardial biopsies can be used to diagnose a number of things microscopically, including transplant rejection (in patients with heart transplant), inflammation (myocarditis), drug toxicity, and causes of hypertrophic or restrictive cardiomyopathy (for example, amyloid,hemochromatosis, sarcoid or other more rare conditions). Neoplasms (benign or cancer) can also be diagnosed. ...Read more

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Hello doctors, what does a myocardial biopsy detect?

Hello doctors, what does a myocardial biopsy detect?

See below: This procedure was initiated to diagnose rejection in heart transplant patients. See this site for a list of other indications of endomyocardial biopsy. http://www.nlm.nih.gov/medlineplus/ency/article/003873.htm. ...Read more

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What does a myocardial biopsy detect? It sounds dangerous.

What does a myocardial biopsy detect?  It sounds dangerous.

Muscle disease: There are a variety of illnesses, some very treatable and some not, which are accurately diagnosed only by taking a snippet the size of a hangnail from the inside of the right atrium of your heart, via a vein. It sounds scary but it's often the key either to greatly improved health, or the knowledge you need to plan your future, as is your right. If offered, i'd not hesitate a moment. ...Read more

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What is myocardial dysfunction?

What is myocardial dysfunction?

Heart muscle problem: This just refers to abnormal function of the heart muscle whether it be due to failure of the heart to pump well (systolic dysfunction) or to relax well (diastolic dysfunction.). ...Read more

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How serious is myocardial ischemia?

How serious is myocardial ischemia?

Maybe very serious: Ischemia means an area of the heart is not getting enough blood usually because of a blockage in an artery. The severity depends on whether it is a major artery or not. ...Read more

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What is the significance of myocardial ischemia?

What is the significance of myocardial ischemia?

Myocardial ischemia: When the heart muscle can't get enough blood flow to supply its needs we call that ischemia. Narrowed arteries, anemia, overgrown muscle and other things can cause it. Chest pain, weakened heart muscle, rhythm problems and other abnormalities may result. It is treated by a combination of therapies. ...Read more

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How dangerous is a myocardial bridge ?

How dangerous  is a myocardial bridge ?

Can be normal: A myocardial bridge is when a coronary artery the normally runs on top of the heart actually dives into the muscle and is compressed with each heart beat. This isn't as bad ad it sounds because most blood flow occurs during diastole or when the heart is relaxed. Very rarely, some bridges can be symptomatic and cause angina symptoms but this should be a diagnosis of exclusion. ...Read more

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Where do most myocardial infarctions occur?

Where do most myocardial infarctions occur?

Varies: You have three main blood vessels feeding the heart - the right coronary, left circumflex, and the left anterior descending arteries. Narrowing can occur in any of the vessels and can be significant in any one or combination of these vessels. Bypass of the left anterior descending artery has shown the best change for improvement in life expectancy. ...Read more

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What is a nuclear myocardial perfusion study?

Stress Test: That uses a radioactive tracer to evaluate blood flow in the coronary arteries. Images are taken at peak exercise and at rest . These images are able to compare blood flow to the heart in specific territories supplied by each coronary artery and any flow disparity would be consistent with a potential blockage in that artery. ...Read more

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Can any doc tell me what's myocardial infraction?

Can any doc tell me what's myocardial infraction?

Hmmmm: Not sure what you mean by infraction. This is not a common term used in cardiac care. A typo or wrong word. Did you mean infarction? ...Read more

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What causes myocardial infections in young adults?

What causes myocardial infections in young adults?

Viral/Bacterial: Cardiac infections can be viral(bad luck) & bacterial coming from another infection sending bacteria into blood stream (sepsis). IV drug users inject bacteria directly into blood. Even skin infections can become sepsis. But any pneumonia, GI infection(diverticulitis) AsWellAs procedures that enter blood stream like IV site. Never ignore infection, antibiotics can freq prevent this complication. ...Read more

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What are the dangers of myocardial perfusion scans?

What are the dangers of myocardial perfusion scans?

Perfusion scan: read this: http://www.hopkinsmedicine.org/healthlibrary/test_procedures/cardiovascular/myocardial_perfusion_scan_stress_92,P07979/

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General prognosis of an inferior myocardial infarct?

General prognosis of an inferior myocardial infarct?

It depends on the: age, location, associated complications, speed of diagnosis and treatment, country of event and many other factors. In the US when treated within 90 minutes the prognosis is excellent. ...Read more

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What symptoms does a symptomatic myocardial bridge cause?

What symptoms does a symptomatic myocardial bridge cause?

Usually none: Patients live their whole lives never knowing they have it. Those rare individuals who are symptomatic have signs like someone who is having a heart attack. Chest pain , pain on left arm , shortness of breath, fatigue. ...Read more

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Can you suggest an exercise inducible myocardial ischaemia?

Can you suggest an exercise inducible myocardial ischaemia?

Question unclear: I assume you're asking for an exercise that AVOIDs inducible myocardial ischemia? Measure your heart rate and keep it below YOUR demonstrated ischemic threshold. If you don't know your I.T., it can be determined on a treadmill stress test -ask your doc. ...Read more

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What is extracorporeal shockwave myocardial revascularisation" (esmr)?

What is extracorporeal shockwave myocardial revascularisation" (esmr)?

ESMR: http://www.mayoclinicproceedings.org/article/S0025-6196(13)01113-0/abstract This procedure is NOT proven but has evidence suggesting it MAY help END-STAGE coronary artery disease patients symptom state. ...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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