I am a 55 year-old male who had a heart attack in 1997. I had to have triple by pass surgery right after it. Could you please explain the recent stress test results to me? The patient exercised for 6 minutes and 53 seconds on the Bruce protocol, achieving 7.0 METS. He had a non-diagnostic ECG test for ischemia secondary to low heart rate, borderline functional capacity. The test was stopped secondary to fatigue. One minute prior to peak exercise the patient received 9.4 mCi of intravenous Cardiolite. A few hours later the patient received 30.0 mCi of intravenous Cardiolite. The short axis reveals a dilated left ventricle. The vertical axis reveals a moderate defect involving the mid anterior wall and inferior wall, without significant redistribution. The horizontal axis reveals a severe transmural defect involving the anterolateral wall and a transmural defect involving the anterolateral apical wall, with just trace redistribution. The bull's eye image support the above findings. The LV function is 42% with diffuse global hypokinesis, however, anterolateral apical wall is akinetic. Overall, there is evidence for a dilated left ventricle with a moerate defect involving the mid anterior, anterolaterwall, transmural defect involving anterolacteral apical wall and a moderate defect involving the inferior wall. At the most there is just race reversibility in the distal anterolateral apical wall, althought there is diffuse global hypokinesis, the anterolateral apical wall in akinetic.