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Doctor insights on: What Is Negative Provocable Myocardial Ischaemia

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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 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

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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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What mean, Mild reversible myocardial ischaemia involving basal segments of inferior and inferolateral walls?

Blocked arteries: This is used to describe blood flow to the heart. The fact that it is reversible indicates that you may benefit from intervention either stent or cabg. The next step is to verify the stress test results with cardiac Cath. The "culprit "vessel is likely right coronary or circumflex. ...Read more

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Can you suggest an exercise inducible myocardial ischaemia?

Can you suggest an exercise inducible myocardial ischaemia?

Question unclear: I assume you're asking for an exercise that AVOIDs inducible myocardial ischemia? Measure your heart rate and keep it below YOUR demonstrated ischemic threshold. If you don't know your I.T., it can be determined on a treadmill stress test -ask your doc. ...Read more

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I have "ecg evidence of exercise inducible myocardial ischaemia". So is this very serious problem?

I have "ecg evidence of exercise inducible myocardial ischaemia". So is this very serious problem?

Yes: It suggests that your exercise is causing a strain on your heart. Many professional athletes who undergo extensive and vigorous exercise often damage their hearts. ...Read more

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Mild reversible myocardial ischaemia involving basal segments of inferior and inferolateral walls its dangerous conclusion of stress test or good?

It is not: Normal, reversible ischemia means that there are areas of your heart that do not get enough blood flow under stress, but do get enough flow at rest. You need to see a cardiologist for further evaluation/treatment. ...Read more

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I was diagnosed with severe ischaemia from myocardial perfusion imaging. What are the procedures or treatments do I need to undergo to treat this?

Coronary Angiogram: Your cardiologist would probably want you to have a coronary angio to see if there are blockages or narrowings of the coronary (heart) arteries. Such lesions may be treated by angioplasty/stenting or bypass surgery. Not all coronary artery lesions are amenable to such treatment and may require medical therapy. ...Read more

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Can you briefly describe what is ischaemia? And is myocardial infarction the same with heart attack?

Can you briefly describe what is ischaemia? And is myocardial infarction the same with heart attack?

Reduced blood supply: Yes, myocardial infarction is a heart attack and is caused by a blocked artery which leads to the reduced blog supply or ischemia of the heart muscle. ...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 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 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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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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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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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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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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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