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Doctor insights on: Tmt Is Negative For Inducible Ischemia

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My tmt is negative for inducible ischemia no angina no arrhythmia?

My tmt is negative for inducible ischemia no angina no arrhythmia?

That is great: If you have no risk factors, if your exercise treadmill is negative with no CP and arrhthmia, your risk of having cardiac event in next3 -5 yrs is very low. ...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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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

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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 and reorder supply and demand. Stress induced peripheral ischemia is treated with peripheral vasodilator medications. ...Read more

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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

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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

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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?

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

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

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

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A 57yr old who had undergone angioplasty 10yrs ago. Now treadmill test shows good effort tolerance, but positive for exercise induced ischemia. Advice?

A 57yr old who had undergone angioplasty 10yrs ago. Now treadmill test shows good effort tolerance, but positive for exercise induced ischemia. Advice?

Needs investigation.: Regardless of this treatment history, exercise-induced ischemia requires a new investigation, especially in someone with known coronary artery disease. This could be a hint to a new blockage that might require intervention. ...Read more

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

Ischemia with stress: Hi. Without seeing the test done or the report, we can't say whether or not 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

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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

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How common is an ANA 1:640 in centromere pattern? Is it common to have vascular symptoms of raynauds, digital ischemia and stenosis in toes and exercise-induced pH w/o developing skin thickening?

Somewhat: ANA in titers of 1:160 occur in up to 10 % of the population as does raynaud's, especially in smokers. However, digital ischemia is less common and more concerning as is the ph. You should definitely see a doctor for these if you are not already doing so. ...Read more

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Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Unsure. But: You can always try and see which one works best for you, with the support of you doc. There are many issues that vary the results among different calcium blockers including different absorption and metabolism from a patient to another. We usually use amlodipine but you can tell better if Diltiazem feels more effective for you. Would discuss with my doc regarding a possible switch trial. ...Read more

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Male 65 pain L jaw/arm/chest, nuclear stress apical ischemia, angiogram neg, cardiolo says all ok. Sternum pain, clutching worsening w/anxiety/cancer?

Male 65 pain L jaw/arm/chest, nuclear stress apical ischemia, angiogram neg, cardiolo says all ok. Sternum pain, clutching worsening w/anxiety/cancer?

YOU ARE OK: A NEGATIVE ANGIOGRAM MEANS NO SIGNIFICANT BLOCKAGES IN YOUR CIRCULATION IN YOUR HEART. THEREFORE, YOU CAN BE REASSURED THAT YOU HAVE NO SIGNIFICANT HEART DISEASE. THE SYMPTOMS MAY BE DUE TO A MUSCULOSKELETAL PROBLEM IN THE AREA OF THE HEART OR DUE TO RESPIRATORY (BREATHING) ISSUES OR DUE TO ANXIETY. TALK TO YOUR FAMILY DOCTOR ABOUT YOUR CONCERNS AND HE/SHE CAN HELP YOU OR FURTHER REASSURE YOU. ...Read more

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Are there any negative side effects to taking black cohosh to induce labor?

Are there any negative side effects to taking black cohosh to induce labor?

Don't do it!: Black cohosh and all other complementary and alternative medications should be completely avoided by everyone because they are unregulated and potentially dangerous with no proven benefit. Even more so for pregnant women, or women hoping to enter labor soon! Please disclose to your obstetrician any of those dangerous drugs you may have been exposed to! ...Read more

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Might there be any negative side effects to the baby when taking black cohosh to induce labor?

Might there be any negative side effects to the baby when taking black cohosh to induce labor?

What are you thinkin: Taking anything herbal when you are pregnant and certainly trying to use it to induce labor is not advisable. Labor should be induced only when the doctor is standing by. ...Read more

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My TMT test report says "the study is BORDERLINE POSITIVE for provokable ischemia". What does this mean?

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 more

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What is ischemia?

Lack of blood flow: Ischemia is a lack of blood flow so that that the organ or extremity is not recieving an adequate amount of oxygen. ...Read more

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How risky is ischemia?

Depends: It depends on how severe it is and which organ is ischemic. For instance it would be more serious to have ischemia to the heart or brain than to your foot. ...Read more

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What is inferior ischemia?

What is inferior ischemia?

Inferior WALL??: Could this be inferior wall ischemia? If so, this refers to the inferior wall of the heart, i.e. Location (bottom) of the ischemia. Ischemia indicates a lack of blood and therefore oxygen & nutrients to any part of the body, in this case the bottom of the heart. ...Read more

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What is reversible ischemia?

What is reversible ischemia?

Poor perfusion: Ischemia is caused by low or inadequate blood flow and oxygen delivery to a tissue:
heart attack
stroke
amputation
renal failure
are sequellae of ischemia
but mild is mild
reversible means it was treated and improved. ...Read more