Doctor insights on:
Peri Infarct Ischemia
Lack of blood flow.:
"Ischemia" means a relative lack of blood flow (i.e., less blood flow than expected or less flow than noted on a prior scan).
Peri-infarct means around the area of cell death (infarction).
Upload the report & images on HealthTap Prime to discuss in more detail. But the basic gist is that around the area of death, there is an area of less blood flow than there should be. ...Read more
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...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
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. An intact occurs when the artery is completely blocked and the muscle dies. Angina is the pain felt when ischemia occurs. ...Read more
Always had abnormal ECG due to inverted Twaves last ECG said ST & Twave abnormality, consider Anterior ischemia cant rule out inferior infarct. Worry?
Depends: You list "stress echocardiography" - was this normal? It's a much more accurate test than just an ordinary, resting EKG. If your stress echo was normal, forget the EKG but remember to always warn future doctors that you have a "normal funky-looking EKG" so they don't worry. ...Read more
Had ECG doctor says it's normal but I noticed it read Inferior Infarct and no acute ischemia? What does this mean? Should I be concerned?
The EKG computers: Are tilted to analyze for abnormality rather than normalcy. The Computer probably picked up some subtle or insignificant change that is not clinically relevant and indicated it to make the doctor aware. His/her interpretation supersedes anything the computer says. If he said normal than that is what it is. ...Read more
The result of my ECG lateral wall ischemia occ. Pvc anterior septal infarct. What's is that mean? Is that serious?
39 yr old male weightlifter. Hypertension palps. Ekg says old antero septal infarct. Consider inferior ischemia. I don't believe it. No pain w exercise?
Stage of disease: In infarction when blood supply completely cut off the tissue dies as in heat attack with damage to heart muscle, con not be reversed, in ischemia blood supply diminishes (reduced) could be reversed no damage yet, this the stage heart attacks could be preventable by proper treatment (s) and intervention. Same with any other organ ...Read more
Small myocardial infarction with Small -medium pharmacologically induced myocardial ischemia in that distribution. What are the the implications?
Reversible defect?: If you're describing what we term a "reversible defect", wherein the heart seems OK at rest and not OK when stimulated (by exercise or medication), then this would mean that area of the heart is still vulnerable to damage (heart attack). This needs to be addressed and treated. You may need cardiac catheterization to define the anatomy of the vessel supplying that area with blood. ...Read more
Ischemia vs MI: Cholesterol plaque develops in the heart arteries. Progressive narrowing - usually greater than 70% - can lead to lack of blood flow to the heart muscle during exercise or rest and causes angina or ischemia. Myocardial infarction is due to the rupture of a plaque which causes a blood clot to form (thrombosis) in the artery blocking blood flow to that area of the heart muscle which then dies. ...Read more
MI: Ischemia is a state of insufficient blood supply to an organ, in this case the heart. When the condition persists it causes death of the tissue/organ - myocardial infarction. The cause of limited supply can be a narrowing of the supplying blood vessel, a blood cloth (thrombosis), a combination of both, or an increased tissue energy need such as in fever/sepsis etc... ...Read more
Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?
Automated ECG: The automated ECG interpretation that appears on a 12 lead ECG printout must always be viewed with a grain (or two) of salt. The best person to evaluate your ECG is your doctor. Period. The machine is famous for misinterpretation. Go see your doctor. Have a history and physical done. Then have him/her look at your ECG. ...Read more
What are the differences between ischaemia and infarction in terms of definition, cause and clinical example?
Ischemia infarction: Ischemia is decreased oxygenated blood flow and infarction is the death of that tissue. Atherosclerosis, inflammation, and clots can obstruct blood flow and lead to heart attacks and strokes. One hopes to prevent both with exercise and mediteranian diet and weight loss. ...Read more
Extent of cell death:
Infarction - dead tissue. It will never come back, it is weak and can rip. Overtime it is replaced by a scar.
Ischemia - tissues are starving for more blood flow, they are viable and functional. Can progress to infarction, but may stay ischemic very long time.
Penumbra - zone of tissue in "twighlight" around dead zone. At risk of turning dead too, but also at risk for swelling with improved flow. ...Read more
Can you briefly describe what is ischaemia? And is myocardial infarction the same with heart attack?
Infarcts: Infarcts are areas of heart muscle damage or scars. They can be deemed to be acute or old depending on associated EKG patterns. Q waves are often patterns of myocardial infarction. The above abnormalities are felt to be on the bottom and front of the left ventricle and possibly on the septum which is a wall between the left and right ventricles. This is a significant amount of heart muscle damage. ...Read more
Contour abnormality consider anterolateral infarct consistent with inferior infarct probably old what does that mean?
Need moreinformation: Was this a nuclear stress test? infarct means a prior heart attack you mention two different walls of the heart. Tests can have artifacts and can sometimes have false positives - will need more information such as history, indication for the test, risk factors for heart disease etc ...Read more
Old stroke: Chronic implies longer than 3-6 months. Brain infarct is a stroke, due to blood vessel obstruction. Risk factors might include hypertension, diabetes, high cholesterol, and the presence of an old stroke predicts future stroke risk. So, likely best to start an anti-platelet drug. Discuss this with your doc. ...Read more
Spinal infarct: Spinal cord infarct is the same as a stroke- sudden decreased blood flow within part of the CNS (central nervous system). Compared to the brain, the spinal cord receives much less blood flow, but like the brain, it can suffer from a stroke. A spinal cord infarct is less common than a (cerebral) stroke. It also tends to affect the legs, as motor supply to the legs must pass through the spinal c. ...Read more
Splenic infarct: It's possible but until a hematologist does the work up and gives you the clean bill of health that it was just a coincidence, I would not just right it off. Last time I looked, this is not a terribly common thing to happen unless there is trauma and the spleen is an incredibly important organ. ...Read more
Subacute infarct: What that means is that at some time in the recent past, there was an interruption of the blood supply to that part of the kidney. ...Read more
ECG: That reading means you should be in touch with your doctor asap to discuss what's going on and what to do you ...Read more