Heart Disease Expert Forum
Ischemia and heart muscle damage
About This Forum:

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.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Ischemia and heart muscle damage

A very close friend of mine is a pilot.  During exercise in Feb. he experienced some shortness of breath.  It was time for his annual flight physical and the EKG showed some irregularities and he subsequently underwent angiography which indicated partial occlusion of at least one coronary artery.  I believe it was the LAD but I'm not quite sure on that.He returned for placement of two stents.  
     He just recently had Thallium stress test done.  Apparently the cardiologist recommends "no further treatment", but his regular flight physician told him that the test did reveal ischemia, and the cardiologist earlier had told him a small area of his heart had been damaged.  Neither doctor mentioned Myocardial Infarction.  
     He continues to have shortness of breath with moderate exercise.  He says he has never experienced any pain. Of course, his license has been suspended and it does not appear he will be able to get it back mainly because the term "ischemia" was used in the test report.  Also, he just told me that at the time of the flight physical, they had found his triglyceride levels elevated into the 500's and put him on Lipitor.
     My question is:  1)Is it possible to have this ischemia and heart damage, and NOT to have had an MI? 2)What are the chances of him having an MI in the future? 3)If he has NOT had an MI, what are the indications for his future health with this history and the untreated ischemia?  I am very worried about him.
                Thanks, Pat M.
Related Discussions
238671_tn?1189759432
PostReply&forum=cardio&message=31140&topic=Ischemia&subject=Ischemia and heart muscle damage&replyto=Pat&replytofile=31140.html&name=CCF CARDIO MD - DLB
2 Comments
Blank
238671_tn?1189759432
My previous answer appears scrambled by the computer.

If there is heart damage, that usually means MI. Ischemia does not mean an MI, just a risk of future MI. I am concerned that he has symptoms of shortness of breath with exercise and ischemia on a thallium, with a history of two stents. Generally, I would recommend a repeat catheteriztion for that sort of patient and, from the information you provided, it is not clear to my why this is not being done.
Blank
Continue discussion Blank
This Forum's Experts
Avatar_dr_m_tn
CCFHeart MD25Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank