What is the significance of anteroapical ischemia?

Location. Ischemia is a term meaning that that part of an organ (the heart in this case) is not getting enough blood and oxygen. Anteroapical just refers to the locasion of the blockage. Antero means front of, and apical refers to the apex of the heart, the part that is directed down and to the left, on the opposite side to the aorta.
Unhappy heart. The anterior apical-tip of the heart is not getting adequate coronary blood flow. Usually left anterior descending artery blockage.