Help, what does this mean?

[mikesalad123]

Hi, my father is a 51-year old male, he recently underwent evaluation for abdominal pain he was having. We got the results, I was wondering if someone could explain them to me.

-Asymptomatic during stress
-Good exercise capacity
-ST depression noted during stress
-Positive to target HR with 1mm ST depressions in V2-3, Pseudonormalization of T wave also noted
-Abnormal perfusion imaging study
-There is evidence of a large amount of stress induced ischemia involving the apical inferior, apical lateral, mid inferior, mid inferolateral, basal inferolateral and basal inferior walls
-Overall systolic function is normal. EF= 65%
-Consider cardiac catherization

Thank you very much,
Mike

[kenkeith]

QUOTE:
-Asymptomatic during stress
-Good exercise capacity
-ST depression noted during stress
-Positive to target HR with 1mm ST depressions in V2-3, Pseudonormalization of T wave also noted
-Abnormal perfusion imaging study
-There is evidence of a large amount of stress induced ischemia involving the apical inferior, apical lateral, mid inferior, mid inferolateral, basal inferolateral and basal inferior walls
-Overall systolic function is normal. EF= 65%
-Consider cardiac catherization
_____________________________________________
ST depression (EKG interval)
>>>>Myocardial ischemia (usually due to blocked vessels, means lack of blood flow), and it appears with stress; can be acute posterior MI (means currently having a heart attack) that can almost be ruled out because an EF65% (amount of blood pumped with each heartbeat) is well within the normal range of 50 to 70% and indicates the heart is strong enough to pump 65% of the filling capacity of blood.  Also, good exercise capacity is a big plus and less serious condition, and the stress induced hypokensis (wall movement disorder (if any) is usually corrected with interventional therapy such as a stent to open any blocked vessels.

[erijon]

Mike,

The most important finding is;

"There is evidence of a large amount of stress induced ischemia involving the apical inferior, apical lateral, mid inferior, mid inferolateral, basal inferolateral and basal inferior walls"

This would indicate that there are blockages in some/most of the arteries in his heart which is keeping his heart muscle from getting adequate blood low when stressed with exercise. It looks like they are recommending a cath which would allow them to see the condition of his arteries and pinpoint where his blockages are and how severe they have become. Sounds like a reasonable thing to do.

I hope all works out well for your father.

Jon