24yfemale with positive stress test?! please help!

[mandykandyy]

I am 24yrso old female recently had a stress test done (medical clearance for surgery) and I would soo soo greatly appreciate any help understanding what exactly this means:
the stress ecg revealed 1 mm horizontal st segment changes in the anterior. And inferior leads which is moderately positive...stress images reveal a medium sized perfusion abnormality of moderate intensity in the anteroseptal, basal anteroseptal, and mid anteroseptal wall segments that was reversible when compared to rest of images.  Gated spect revealed normal left ventricular function with an ejection fraction of 57%. Wall motion analysis revealed normal thickening in all myocardial segments. First pass lvef was. 34% at stress whereas at rest it was 80%.

Abnormality electrocardiographic response during exercise. The stress ecg revealed moderatley positive ischemic changes in the anterior and inferior leads.
myocardial perfusion imaging was abnormal. There is a medium size area of moderate ischemia in the anteroseptal, basal and mid anteroseptal wall segments.
these results indicate high likelihood for presence of stress induced ischemia with a summed difference score (sds) of 8. The summed stress score is 8a and places patient in low intermediate cardiovascular risk profile asswith cardiac mortality rate of. 8% per year and cardiac mi rate of 2.7% per year.

Idk if this matters but...
I am about 5ftthe 2in. And weigh 120-125lbs and non smoker mod daily. Exercise

[is_something_wrong]

Hi,

Approx. 1% of us are born with abnormal coronary arteries, which may be a variety of conditions; they origin the wrong place, they may be too small, they may not supply the right (as in correct) parts of your heart with blood, etc. Usually this doesn't cause any problems or symptoms, but in some cases it will, and cause angina symptoms at very young age. There are also conditions where the coronary arteries don't dilate as they are supposed to with exercise, or in fact spasms with adrenalin. This means; not all ischemia or angina symptoms are caused by blockages in the coronary arteries caused by atherosclerosis.

Some non-coronary artery diseases can also cause the findings, like infections or other causes for weakening of the heart. Also, the test may be wrong (artifacts or misinterpretations).

Blocked coronary artery is extremely uncommon in 24 y/o females. For a young girl (<30 y/o) to get that disease if the coronary arteries are normal, lots of risk factors is usually present (diabetes, smoking, overweight, hypertension, dyslipidemia, family history, radiation treatment, etc).

By the way, if you have raynauds phenomenon, the risk is slightly higher for coronary artery spasms, but this is very uncommon, even for people with raynauds.

Also, it's not common for a 24 y/o to have hypertension. Is this diagnosis certain and is a cause found? If not, you should not just accept the answer without a reason (that may be corrected).

Please keep us updated, and good luck.

[mandykandyy]

He sent me for a ct angiogram I believe that's what its called last friday.  Yes, He did state that the test has a possibility of being a false positive so he told me this ct test would give me a definate answer. However I kept trying to ask him if it isn't a false pos. What exactly could be "going wrong" and he wasn't really answering the question he just kept going back to talk about this new test he wants done. Said shouldn't worry until know for sure, but I don't work that way lol. I worry when I don't have all the facts. But near the end of the visit I was trying to beg and plea with him to give me clearance for surgery (2nd time I've had to cancel because of being denied) and said that if this test is accurate that pretty much looking at heart attack he said these images came up showing more than a 70%good blockage or it could be some sort of pumping abnormality where one of the aerties goes and backbumps around the heart rather forward as it should... sorry he just drew a quick sketch out for me but never said a name of the condition.

However you were talking about being asymptomatic? What exactly are classic warning signs or symptoms that you are refering too?

I do have highblood pressure (I have no idea why I would.. but I do) and sinus rhtym tachycardia take bystolic for both. I swell esp. Legs and face (it usually one or the other rarley happen together) happens rougly atleast twice a week or so but my legs especially change colors daily goes red white blue purple cycle
however I was toldyou it was (urticaria) with angiodema and raynauds phen. But I am on 10mgfriday prednisone daily (couple months) so im not quite sure if it just due to those issues above. I just have to a feeling that everything is connected.
Lastly thank you both I greatly appreciate taking time to respond to this!

[erijon]

This could also be a false positve, especially if you are not symptomatic. False positives, although not common, are also not rare in women. It is dangerous to interpret your own report, you need to go over it with you cardiologist as they can determine if the findings are correct or not.

What did you doctor say about these results and did they schedule more testing?

Jon

[grendslori]

What this means in simplier terms is that when you are exercising, parts of your heart are not receiving blood the way they should. Your doctor may want to do a cath to look for blockages in your coronary arteries.