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Heart Stress Echo Results
Can you  please interpret the following results in terms of severity and
recommend the best course of action?

I am a 55 years old male.
The stress report says:

"Patient exercised for 11:30 in a Bruce protocol to a peak heart rate of 173. Test terminated due to fatigue. Normal blood pressure repsonse. Good exercise tolerance.
1. ECG reveals 2mm inferolateral ST depression in stage I to 7 minutes post.
2. Maximal exercise treadmill is positive for ischemia.
3. Triplex, two dimensional, color and spectral Doppler reveals trace degree of pulmonic insufficiency.
4. The mitral valve Doppler inflow profile suggests left ventricular diastolic dysfunction.
5. Evaluation of resting wall motion reveals normal wall motion.
6. Post-exercise evaluation of wall motion reveals new wall motion abnormality with hypokinesis in the mid to distal anterior wall segment.

Conclusion: Abnormal exercise echocardiogram.
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