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Doctor insights on: Provocable Myocardial Ischemia

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Recently I have gone tmt test, the result is "test is positive for provocable myocardial ischaemia" pl. Advise what I should do now.?

Recently I have gone tmt test, the result is "test is positive for provocable myocardial ischaemia" pl. Advise what I should do now.?

Heart cath.?: Depends on why you had the stress test in the first place, for chest pain? If so, and the test was positive, you need a cardiac cath. And possibly a stent. If you had no symptoms, you might repeat the stress test with a nuclear tracer or echocardiogram. ...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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Recently during my annual health checkup I have gone tmt test, the result is "test is positive for provocable myocardial ischaemia".What this mean.

Recently during my annual health checkup I have gone tmt test, the result is "test is positive for provocable myocardial ischaemia".What this mean.

Abnormal stress: Test. Discuss with your physician. ..May need a repeat with imaging as ekg only has higher false positive rate. ...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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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 does myocardial ischemia means?

Cardiac: Myocardial ischemia is what causes chest pain or angina. This occurs when there is plaque that blocks the arteris and reduces flow to the heart muscle. ...Read more

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What does provokable myocardial ischemia mean?

Activity or emotion: The heart may have adequate blood flow to function normally at rest or lower levels of activity. However when you increase the nutrition needs of the heart as with exercise or strong emotions the blood flow is insufficient due to blockages and provokes ischemia which can be detected by various forms of stress test. Chest pain, shortness of breath & fatigue are the common symptoms of ischemia. ...Read more

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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 serious is myocardial ischemia and can you treat it?

Very serious: True myocardial ischemia is very serious and life threatening and should receive immediate medical attention. There are numerous ways to treat it, recognizing it is most important. Typicallyconsists of burning chest pain or heaviness, sweating and anxiety; most often with exertion or heavy work. See doctor right away. ...Read more

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How would salbutamol cause myocardial ischemia?

Rare: This is due to the fact that this is a beta agonist drug that increase myocardial Contractility as one of the main central effects. Too much medication will cause ischemia in the heart muscle from overwork, but as I mentioned above, only happens at high doses, and is a rare event ...Read more

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What does it mean if somebody has cmi? What's the difference between chronic mesenteric or myocardial ischemia?

What does it mean if somebody has cmi? What's the difference between chronic mesenteric or myocardial ischemia?

Poor circulation: Cmi could mean chronic mesenteric insufficiency. Ischemia means poor circulation. If it involves the heart it is called myocardial ischemia and if it is the gut it is called mesenteric. ...Read more

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Can myocardial ischemia be diagnosed by echocardiogram?

Can myocardial ischemia be diagnosed by echocardiogram?

Echocardiogram: We use stress echocardiography to diagnose myocardial ischemia among other studies. Resting ECG can suggest the possibility. ...Read more

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What is the difference between a myocardial infarct, ischemia and angina?

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

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Doctor my wife's TMT report says - Probable inducible myocardial ischemia - is this a serious condition?

TMT: You need to discuss with the Doctor. Inducible myocardial ischemia is a signficant condition BUT the treadmill test has various sensitivity and specificity in different age groups and sexes. The doctor should be able to explain the signficance specific to your wife. ...Read more

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What are the differences between myocardial infarction and myocardial ischemia?

What are the differences between myocardial infarction and myocardial ischemia?

Ischemia: Ischemia is a term for tissue not getting enough oxygen (almost the same as not enough blood supply). Infarction is the end result of too much ischemia, it means death of the tissue. In other words infarction is the result of severe prolonged ischemia. ...Read more

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But I exercise treadmill test is to walk. ... Why will show myocardial ischemia?

But I exercise treadmill test is to walk. ... Why will show myocardial ischemia?

A stress test invol-: -ves cardiac monitoring, & there R other stress tests that can B done. Talk 2 Ur provider or cardiologist about this. ...Read more

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Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Ur initial ST: Is more likely false positive. With ur young age and I presume with no risk factors like hypertension, diabetes, high lipids ; strong family history of heart disease, I won't worry about it. Follow up with ur pcp or cardiologist. Take care and mabuhay! Http://www. M.Webmd. Com/heart-disease/guide/stress-test-- (dupe). Tp://www. Heart. Org/heartorg/gettinghealthy/gettinghealthy_ucm_001078_subhomepage. Js. ...Read more

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What does no evidence of stress induced myocardial ischemia mean after stress echo but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Talk to your doc: The "stress" portion of your stress test appears to be normal, as you reached a reasonable stress (9 mets), reached target heart rate and no ischemia was demonstrated. However, there may be "resting" abnormalities on the echo, hence it was called abnormal. Discuss with the ordering physician. ...Read more

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Small myocardial infarction with Small -medium pharmacologically induced myocardial ischemia in that distribution. What are the the implications?

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

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Ecg possible myocardial ischemia inferior plus t wave inversion. How serious?

Ecg possible myocardial ischemia inferior plus t wave inversion. How serious?

ECG: Possible abnormalities can possibly be meaningful or not. The best you can say is possibly serious. More information is needed, ask your Doc about you. ...Read more

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My mother (49) has myocardial ischemia for past 6 months. But now there's no pain. Is it necessary to take an angiogram test?

Gold standard: An angiogram will definitively answer the question of is she having angina and can she be opened. There are less invasive test which can be administered, first. She should be under a doc's care, if avail. ...Read more

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Two doctors found a suggestion of myocardial ischemia, had a heart cath and was clean? What does that mean if they both saw something?

Two doctors found a suggestion of myocardial ischemia, had a heart cath and was clean? What does that mean if they both saw something?

Tests: Tests are not always 'right'. Whatever test was interpreted as 'suggestion of ischemia', was likely not specific in this case ...Read more

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Does ischemia or thrombosis cause myocardial infarction?

Does ischemia or thrombosis cause myocardial infarction?

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

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Is st. Depression of the heart the same thing as myocardial ischemia?

Is st. Depression of the heart the same thing as myocardial ischemia?

Yes: It is often a sign of myocardial ischemia, of which coronary insufficiency is a major cause. ...Read more

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How is ischemia linked to myocardial infarction, along with thrombosis?

How is ischemia linked to myocardial infarction, along with thrombosis?

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

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Can any doc tell me what's the difference between myocardial infarction and myocardial ischemia?

Can any doc tell me what's the difference between myocardial infarction and myocardial ischemia?

Damage done: Myocardia ischemia means heart muscle not getting enough oxygen. Frequently this is angina. When the lack of oxygen is prolonged there is destruction of the muscle: this is a heart attack or myocardial infarction. ...Read more

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Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Probably normal: The ECG is accurate about 70-80% of the time in diagnosing cad. Adding stress echo or nuclear imaging improves accuracy to above 90% when patient reaches his or her target rate. ...Read more