Top
30
Doctor insights on: Stress Induced Ischemia

Share
1

1
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. Heidi Fowler
3,144 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


2

2
What is stress-induced ischemia? How is it treated?

What is stress-induced ischemia? How is it treated?

Stress ischemia: Under the conditions of physical or emotional stress the more rapid heart rate and higher blood pressure can produce myocardial ischemia. It is treated with nitrates and beta blockers to try to reorder supply and demand. Stress induced peripheral ischemia is treated with peripheral vasodilator medications. ...Read more

4

4
If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? Have I ever had a heart attack before?

If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? Have I ever had a heart attack before?

Not necessarily: You need confirmatory testing for this abnormal finding. A high grade blockage in a heart artery could cause this even if you have not had a heart attack. ...Read more

5

5
What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall, what that means have I every had a heart attack before?

What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall, what that means have I every had a heart attack before?

Ischemia with stress: Hi. Without seeing the test done or the report, we can't say whether you've had a heart attack before. At the least, when you exercise and heart muscle oxygen demand goes up, not enough oxygen gets to the anterior wall and the septum to meet the demand. You need coronary angiography, and may need a stent or a bypass operation; you'll need medical therapy in any event. Ask your cardiologist ...Read more

7

7
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

8

8
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

9

9
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

10

10
Does " no significant ischemia" mean there is no ischemia? This showed during stress test and found previous mi?

Maybe not: Normally if there is no ischemia, the report will say that. The statement no significant ischemia" may mean that there is a small area of posible ischemia — usually not threatening to you. Ask your doc to clarify this. ...Read more

11

11
How accurate are nuclear stress tests, and what does a negative result mean? No ischemia? No detectable ischemia?

Good, not perfect: You've asked an excellent question about which books are written. The accuracy depends on the likelihood that pathology is present and the prevalence of the disease in the population studied. Broadly, a negative test is 80% accurate but can lower your chance of disease from >60% to <20%. Practically, let your doc decide for you based on your unique issues whether more tests are indicated. ...Read more

12

12
My stress test results were read to me over the phone by a nurse. What does large anterior reversible midlateral ischemia mean.

My stress test results were read to me over the phone by a nurse.  What does large anterior reversible midlateral ischemia mean.

Heart of the matter: Please speak with your doctor himself or herself, so you can get individualized answers. The nurse's report sounds like you have signs of reversible damage to the front part of your heart muscle, from not enough oxygenated blood nourishing it. Your doctor can share his/her interpretations of these results, & make suggestions based on your whole evaluation. ...Read more

13

13
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

14

14
If I had inferior ischemia... Stress test & echo would've showed something right?

If I had inferior ischemia... Stress test & echo would've showed something right?

Presumably.: A negative nuclear or chemical stress test should rule out ischemia with 95% confidence. Not 100% confidence, 95%. There's always the possibility for false negative results — if clinical suspicion is really high and the test is negative, more testing may still be in order to really be sure. Echo not reliable enough unless damage to the heart has already occurred. ...Read more

15

15
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

16

16
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 the 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 the best next step, and intervention, if any. ...Read more

17

17
I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

Positive: This means that they did see signs of ekg changes when you reached a certain level of exertion. This would warrant further evaluation with imaging stress test or angiography-depending on cardiologist's choice. ...Read more

18

18
Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What is that mean?

Reduced blood supply: Ischemia means reduced blood supply to a part or muscle. The LAD refers to one wall of the heart. This means you should follow up with your doctor or a cardiologist. You are at risk for heart disease, but it doesn't tell you how great is the risk. ...Read more

19

19
Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What does that mean?

Blood flow: Reversible ischemia means that an area of your heart muscle is not getting adequate blood flow (at times) but then the blood flow "catches up" (i.e. Reversible). The LAD is the left anterior descending coronary artery — it's an important blood vessel. The LAD may have a blockage — would recommend seeing your cardiologist. ...Read more

20

20
So I had stress test done it ame back ok but they said I had reversible ischemia what's that mean am i gonna die? And had 10% positives in the test

Coronary angiogram: Reversible ischemia means that when you exercise part of heart muscle is deprived of blood supply. You are not going to die, but should consult with a cardiologist to see if you need coronary angiogram. Your heart should be at resting stage. Avoid any exercise until you have the work up done. Stress test can be sometime wrong. At age 31 i don't expect you to have coronary artery disease. ...Read more

21

21
Ischemia can be diagnosed. By stress echocardiography?

Several methods of: Stress testing are available, stress echo is one of them. But real answer is with angiography, a more invasive and dangerous test. Consult with a cardiologist for specific advice, depending on your symptoms and personal/family history. ...Read more

22

22
What's the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

What's the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal

Trust or 2nd opinion: Follow your doctors advice. If he feels there is no evidence of myocardial ischemia, and that no further testing is warranted, then either trust what he tells you or seek a second opinion. You have every right to get a second opinion if you wish, and if the 2nd opinion concurs with the first, you should not worry. ...Read more

23

23
Stress test shows small perfusion defect along lateral wall which appears reverisable and is suspicious of ischemia 2. Mild hypothesis prior mi?

Stress test shows small perfusion defect along lateral wall which appears reverisable and is suspicious of ischemia 2. Mild hypothesis prior mi?

Imaging: Imaging tests are an indirect way of evaluating the various organ systems. Some tests provide numeric values with an attached range of 'normal values'which are meant to be a guide to be used for the clinician when correlating the test findings with the patients complaints and examination findings. Numbers can be erroneous due to technical factors or irrelevant in a specific patient &#40;eg body size&#41;. ...Read more

25

25
LVEF 41% at stress.reversible ischemia involving apicoanterior, distal anteroseptal.reduced, non reversible perfusion involving the mid basal.means?

LVEF 41% at stress.reversible ischemia involving apicoanterior, distal anteroseptal.reduced, non reversible perfusion involving the mid basal.means?

Abnormal stress trst: Means you need to see a cardiologist for further testing to evaluate your heart for possible blockages in the arteries that supply your heart muscle. ...Read more

27

27
What does a positive stress test for pro-vocable mayocardial ischemia mean?

What does a positive stress test for pro-vocable mayocardial ischemia mean?

Blockage: It means that when your heart needs it, your arteries are incapable of delivering blood evenly and sufficiently to all the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...Read more

28

28
My stress treadmill test positive for provocable ischemia with resuced specificity... What can I do now?

Heart cath: Go see a good cardiologist, he/she will review test and may recommend a heart cath. ...Read more

30

30
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

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