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Tmt Borderline Positive For Inducible Ischemia
Blockage: It means that when your heart needs it, your arteries are incapable of delivering blood evenly and sufficiently to all of the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...Read more
My TMT test report says "the study is BORDERLINE POSITIVE for provokable ischemia". What does this mean?
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 moreSee 1 more doctor answer
My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?
This means that the: EKG portion of your stress test had changes in the waveforms that have been known to be associated with blockages of the coronary arteries. Unfortunately, greater than 15% of the time this is inaccurate in women. Less than 5% of the time in men. This is why we always do stress testing in women along with nuclear imaging. If the nuclear imaging is negative then the EKG changes are FALSE positive. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Positive Ana and dsdna. Retest showed neg ana and dsdna, but low c4. What does the low c4 mean? Were first results false positive?
Complex: sample handling, timing and transport are important, the process is delicate and constitutes multiple steps at different temperatures, and the results are interpreted in context with the clinical picture, just ask your doctor / rheumatologist for interpretation, if just suspicion, observation and follow up are the way to go for many clinicians, wish you wellness ...Read more
R & L cath excellent. Nuclear stress test ended up false positive. Arteries immaculate, pressures great, function awesome. PFT perfect. DXd w/LBBB, HR low is that causing sob w exertion? Am I safe?
Positive stress: A stress test is generally done to determine if heart disease symptoms are related to actual heart disease. Sometimes people at risk for heart disease, but being prepared for stressful procedures like surgery, will have a stress test done. If a stress test suggests ischemic heart disease, generally, further evaluation, like a heart cath, should be done to confirm its presence. ...Read more
Lupus sle panel blood test shows pos myocardial ab, if, myocardial ab titer 1:40, gastric pareital cell 43, RA factor 30. What does this mean?
Difficult to say: Without specific patient scenario, it is difficult to interpret. You can have lab test anomaly without clinical disease. Open the case... ...Read more
I had an ECG done. Borderline low voltage in frontal leads. Borderline st elevation anterolateral leads means?
EKG: Ekg by itself doesn't mean anything. It has to be matched with the clinical picture. For example hear attack symptoms with st elevation can be active heart attack. Minimal st elevation without any symptoms could be something called j point elevation. Low voltage most of the time are normal but rarely could be seen in fluid around the heart. ...Read more
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 moreSee 1 more doctor answer
Father had cabg 4 yrs bfr his age now 60 yrs. Al test normal lvef 67% tmt result TMT borderline positive for induced ischemia , serious or wat to do?
Cardiology eval: Need to go to a cardiologist and possibly get a cardiac cath done under fluoro to see patency of coronary arteries, flow and blood distribution, etc. to get all the answers you seek... ...Read more
Echo results show borderline elevated pulmonary artery pressure: 31-36mmHg. Cardiologist did not mention and discharged. 19yo female. Risk of disease?
St-t wave changes,consider inferolateral ischemia on ecg, echo shows heart good. Doctor said are few heart interruptions. What means? 27 yrs. Thanks
ST-T wave changes: ST-T wave changes often are non-specific and may not mean anything. There are some ST-T changes that are the hallmark of heart attack, but I doubt this is your case as you echo was normal. Modern computerized ECG machines will always say "consider ... ischemia" with any ST-T wave abnormality. ...Read more
Test specificity: The ett is just a test. Like all tests, it has its strengths and weaknesses. At best, it is no better than 80% accurate. The coronary angiogram, which is also a test and thus imperfect, is the gold standard to which the stress test is measured. Example: the national weather bureau forecasts rain. It doesn't rain. What happened? (they were wrong!). ...Read more
No appetite, SOB, PVCs, rapid HR. EKG, troponin, d dimer, and chest xray good. Echo mon, tilt test in 2 wks. Need stress test? Heart attack ruled out?
Yes..anxiety: Sounds like your heart is fine but you may be stressed out over something. Calm down and do a thorough self analysis to unravel whatever is making you tic! ...Read more
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- Stress test borderline positive for inducible ischemia
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