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Heart Disease (Expert Forum)
Stress test results explanationa
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Stress test results explanationa
by anjulito, Dec 18, 2004 12:00AM
I'm a 39 year old male 5'7 175 LBS non-smoker. other wise healthy. recently addimited to the hospital with chest pains and dizzzines. I'm concerned as to what brought me to this condition, is there permanent muscle damage? I cannot tell from reading the results.
I have no history of high cholesterol or high blood pressure, also no family history of heart desease.
A stress test was preformed and these are the results.
I was given the following medications and have a follow up appointment on the 22 dec.
Coreg 3.125mg, Zocor 20mg, Spironolactone 25mg, Altace 5 mg
Please explain these as detailed as possible.
PERFUSION: review of the nuclear myocardial perfusion images revealed a reversible perfusion deficit in the anteroseptal wall and inferior wall. there is a fixed deficit in the apex.
FUNCTION: there is global hypokinesis, worse in the septum and inferior wall.
TID ratio 1.04 Lung /Myocardium count 0.37
Resting Gated
EDV 183ml ESV 105 ml SV 78ml
LVEF 42%
Stress Gated
EDV 113ml ESV 124 ml SV 67ml
LVEF 35%
IMPRESSION: there is a moderately sized area of mild ischemia in the anteroseptal wall and inferior wall.
I thank you very much for your help in better understanding the result of my test.
Regards,
Julio
I have no history of high cholesterol or high blood pressure, also no family history of heart desease.
A stress test was preformed and these are the results.
I was given the following medications and have a follow up appointment on the 22 dec.
Coreg 3.125mg, Zocor 20mg, Spironolactone 25mg, Altace 5 mg
Please explain these as detailed as possible.
PERFUSION: review of the nuclear myocardial perfusion images revealed a reversible perfusion deficit in the anteroseptal wall and inferior wall. there is a fixed deficit in the apex.
FUNCTION: there is global hypokinesis, worse in the septum and inferior wall.
TID ratio 1.04 Lung /Myocardium count 0.37
Resting Gated
EDV 183ml ESV 105 ml SV 78ml
LVEF 42%
Stress Gated
EDV 113ml ESV 124 ml SV 67ml
LVEF 35%
IMPRESSION: there is a moderately sized area of mild ischemia in the anteroseptal wall and inferior wall.
I thank you very much for your help in better understanding the result of my test.
Regards,
Julio
Doctor's Answer
by CCF-M.D.-MJM, Dec 18, 2004 12:00AM
Hi Anjulito,
It is hard to know how much weight to put into these results. Was this an exercise stress test with nuclear imaging? I know you want to know specifics, but my approach is to be a bit more general. I think people get lost in details of studies and medications and miss the big picture.
Regarding the results of the nuclear imaging,it appears that year heart pumping function is mildly reduced. If the results are correct, there is muscle damage to your heart. The question is--can you believe this study?.
If I saw you in clinic with these test results, I would order an exercise echocardiogram. First, the exercise portion will give me important information about your level of conditioning. and rank you against age matched patients so I can compare you to a group of your peers. The echocardiogram portion will reassess your resting heart function and assess you for ischemia (artery blockages) with exertion. If there was any question about reduced heart function or ischemia, I would do a cardiac catheterization to assess for artery blockages.
In the mean time, you are a good set of medications. Hopefully you are taking 81 mg per day of aspirin (unless there is a VERY good reason you can't take aspirin). Your coreg will be increased slowly, but probably should be increased if your blood pressure allows.
If it were me and I had reduced heart function, I would want to see a cardiologist. I am not sure if you are dealing an internist or a cardiologist.....but I would prefer a specialist.
I hope this helps answer your questions and I wish you well.
It is hard to know how much weight to put into these results. Was this an exercise stress test with nuclear imaging? I know you want to know specifics, but my approach is to be a bit more general. I think people get lost in details of studies and medications and miss the big picture.
Regarding the results of the nuclear imaging,it appears that year heart pumping function is mildly reduced. If the results are correct, there is muscle damage to your heart. The question is--can you believe this study?.
If I saw you in clinic with these test results, I would order an exercise echocardiogram. First, the exercise portion will give me important information about your level of conditioning. and rank you against age matched patients so I can compare you to a group of your peers. The echocardiogram portion will reassess your resting heart function and assess you for ischemia (artery blockages) with exertion. If there was any question about reduced heart function or ischemia, I would do a cardiac catheterization to assess for artery blockages.
In the mean time, you are a good set of medications. Hopefully you are taking 81 mg per day of aspirin (unless there is a VERY good reason you can't take aspirin). Your coreg will be increased slowly, but probably should be increased if your blood pressure allows.
If it were me and I had reduced heart function, I would want to see a cardiologist. I am not sure if you are dealing an internist or a cardiologist.....but I would prefer a specialist.
I hope this helps answer your questions and I wish you well.
Also, if there isn't blockage what could have caused this condition..?
any thoughts.???
Glad to hear you are seeing a cardiologist. Happy holidays.