Doctor insights on:
Tmt Is Negative For Inducible Ischemia
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
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
Excercise induced myocardial ischemia strongly positive at 90 percent mhr good excercise tolerance in a jogger no other symptoms what should I do?
See your Dr.: Talk to your dr. They will likely refer you to a cardiologist. ...Read more
Hi, my father was detected with induced ischemia. Kindly let me know the precaution needed and the diet recommended in this case. Regards, richa?
Unclear: Not enough info here. Discuss with his doctor or cardiologist. ...Read more
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
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
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
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
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
“stress-induced ischemia of anteroseptal wall apex, basal inferoseptal wall, ischemic cardiomyopathy w/severe L ventricular systolic dysf, ref 30%.
Not good: You need a close follow up with a cardiologist for the rest of your life, if you smoke, try to quit ASAP ...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
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?
A 57yr old who had undergone angioplasty 10yrs ago. Now treadmill test shows good effort tolerance, but positive for exercise induced ischemia. Advice?
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
Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?
Abnormal myocardial perfusion scan evidence of mixed scar stress induced ischemia in anterior segment, should I be concerned?
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?
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
Is it possible to have angina without ischemia? I have mvp and left ventricular hypertrophy but had two neg nuc strestests with two cardiologists.
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
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
Can exercise induce GERD related chest pain? I have had burning left sided chest discomfort all day. 2 neg nst's latest in jan of this year
Hello Doctor, recently I (boy, 26)did a ETT test where, in conclusion it said " ETT is negative for provocable myocardial ischaemia". What does it 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