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I had a nuclear stress test.  The rest images both Anterior Wall and Inferior Wall revealed a medium perfusion abnormality of mile severity.  The Impression was soft tissue attenuation with the possibility of myocardial infarction in both the Anterior and Inferior Wall.    Stress LVEF is 69%.  In simple terms, what does this mean?
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976897 tn?1379171202
Well they are basically in two minds about your scan results. A dark area on the front/back of the heart can be (in their opinion) the result of a previous heart attack/s OR it could be the scan reflected off your body tissue giving an anomaly on the images. With a 69% LVEF, it would be difficult to believe you had attacks on both the front and rear of the heart. It depends on the area of the damage (if that is the case). Obviously if a tiny piece of muscle is dead, then it will hardly affect the hearts performance. Your EKG should actually back up this report, showing a delayed relaxation time in the lower chambers of the heart due to stiffness. This is exactly why I don't believe a nuclear scan should be done without other tests first, such as an angiogram or ct-angio. It can give such confusing and contradictory results. It should be used alongside other results for clarification.
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