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Heart Disease (Expert Forum)
Exercise Induced Myocardial Perfusion Defect
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Exercise Induced Myocardial Perfusion Defect
by Susan__0__0, Jan 28, 1999 12:00AM
I was born with a left branch bundle block. It has never caused me any problems .It just keeps showing up on EKGs. I recently had a Thallium Stress Test and it was positive for exercise induced myocardial perfusion defect. What does this mean to me. Also on the test result page it said," reversible ischemia auteroplat wall". Can you explain this as well? Thank you.
Doctor's Answer
by CCF CARDIO MD APS, Jan 28, 1999 12:00AM
Dear Susan,
The left bundle branch block is simply an alteration in the way your heart conducts a beat (via its electrical circuit.)
The perfusion defect you have on your test (anterolateral) is related not to the electrical system but to your likelihood of having coronary artery disease.
The anterolateral defect is an indication that there is decreased blood flow to your anterior and lateral heart wall muscles during exercise which is indicative of a potential significant blockage in the left anterior descending artery (the artery that feeds blood to those walls of the heart.) It is likely that your doctor will recommend a cardiac catheterization, a procedure done by a cardiologist to look specifically for blockages in the coronary arteries. If you have not heard from your doctor, you should call him or her to ask what the plan is in regards to your abnormal test results. Meanwhile you should not be exercising.
I hope this information is useful. Information provided in the heart forum is for
general purposes only. Only your physician can provided specific diagnoses and therapies.
Feel free to write back with further questions. Good luck!
If you would like to make an appointment at the Cleveland Clinic Heart Center, please
call 1-800-CCF-CARE or inquire online by using the Heart Center website at
www.ccf.org/heartcenter. The Heart Center website contains a directory of the
cardiology staff that can be used to select the physician best suited to address your
cardiac problem.
Member Comments
by butch22, Aug 24, 2009 08:45AM
A related discussion, small area of reversible anteoapical ischemia was started.
