Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Shortly after, the following symptoms occurred:
Growing pressure in left chest that travelled down left arm causing numbness
Cramping pain in left shoulder that radiated to left elbow
Tight, stabbing pain in the upper left chest
Numb lips
Extremely warm without sweating
Pounding and racing chest
My baseline blood pressure was 156/89. My peak exercise blood pressure was 172/79. Cardiomediastinal silhouette is within normal limits. Trachea is midline. Pleural space are clear. Bones are unremarkable. Lungs are clear.
I had a Treadmill Cardiolite Stress test with SPECT imaging.
Stress test was negative.
SPECT imaging revealed the following:
Minimal hyperfusion in basilar inferior wall
Fixed basal inferior defect o/w diaphragm
No ischemia
EF 577
Basic Metabolic Blood Test
Sodium 138
Potassium 3.7
Chloride 101.0
CO2 28.4
Glucose 112 H
BUN 18
Creat Serum 0.91
Calcium 10.0
eGFR >60&
CBC COMPLETE BLOOD COUNT TEST
WBC 6.7
RBC 4.83
Hgb 15.3
Hct 44
MCH 32 H
MCHC 35
RDW 12.5
Platelet 221
Absolute Baso 0.0
Absolute Eos 0.1
Absolute Gran 3.0
Absolute Lymph 2.8
Absolute Mono 0.7
Basophil % 0.4
Eosinophil % 1.9
Granulocyte % 44.4 L
Lymphocyte 42.3 H
MCV 92
MPV 8.5
Monocyte % 11.0
D/DIMER QUANTITA
D-Dimer < 0.22
Troponin I
Troponin I <0.15 on both baseline and follow up tests
The ER stated that they ruled out my heart as the cause of this issue.
What else could be causing this?
Is there anything note-worthy from my test results?
Should I be tested for anything else?
What does the basal inferior thing mean? They didn't talk to me about this, they just put it in my initial report and told me to follow-up with my general doc on Monday.
Hi,
Since all your tests to confirm the presence of coronary artery disease are negative and hence I don’t think you need to worry a lot regarding the same. I don’t think you need any further tests. The pain could be muscular in origin and you’ll likely get relief with the use of some OTC analgesics like ibuprofen, diclofenac etc. The fixed artefact in the SPECT imaging is common and is usually due to the soft tissues like left hemi diaphragm as in your case. It resembles the dead tissue of the heart (myocardial scarring) but actually isn’t. Hence, you don’t need to worry at all on that aspect. I don’t think you have got any evidence of coronary artery disease and thus don’t need to worry at all. I sincerely hope that helps. Take care.
Since all your tests to confirm the presence of coronary artery disease are negative and hence I don’t think you need to worry a lot regarding the same. I don’t think you need any further tests. The pain could be muscular in origin and you’ll likely get relief with the use of some OTC analgesics like ibuprofen, diclofenac etc. The fixed artefact in the SPECT imaging is common and is usually due to the soft tissues like left hemi diaphragm as in your case. It resembles the dead tissue of the heart (myocardial scarring) but actually isn’t. Hence, you don’t need to worry at all on that aspect. I don’t think you have got any evidence of coronary artery disease and thus don’t need to worry at all. I sincerely hope that helps. Take care.