Heart Disease Community
Varying Nuclear Stress Test Results
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

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

Varying Nuclear Stress Test Results

I am 63 year old female. I lead a pretty active life altho I can't say I worry too much about exercise or diet. I have been having nuclear stress tests once a year for the past 3 years by my doctor who found and abnormalty in my EKG the first year. He bought equipment to do these tests around that time.
(1) The first test came back abnormal with this impression: Fixed Apical/Inferoseptal Defect with Prior MI in the LAD or RCA distribution; no stree defect, mild LV enlargement, Inferior/septal hypokinesia, LVEF 56%. I was sent to a cardiologist for a cath which came back with a normal left coronary system and 20% irregularity at the sheperd's crook. Ejection 55%. Risk considered low by the cardiologist.
(2) Year 2 test came back Negative Pharmacologic stress for Ischemia, Normail myocardial perfusion study w/no stress defects, normal LV wall motion and thickening annd normal systolic function - LVEF 59%.
(3) Year 3 came back with a normal cardiac echo taken before the stress test with mild mitral prolapse. Then the stress came back with Negative pharm stress for ischemia, duffuse attenuation artifact on rest images (inferior wall, septum, apex), improved perfusion on stress images with persistent defect at the apex - fixed apical defect consistent with infarct scar, apical akinesia, normal systolic function - LVEF 59%.
My question is - should I be concerned about how much these tests differ - it does not give me a warm fuzzy feeling about the accuracy of the tests? Should I worry about the 20% blockage? Should I even be having these tests every year? I soon have an appt with the cardiologist who did my cath.
Related Discussions
7 Comments Post a Comment
Blank
367994_tn?1304957193
Q: My question is - should I be concerned about how much these tests differ - it does not give me a warm fuzzy feeling about the accuracy of the tests? Should I worry about the 20% blockage? Should I even be having these tests every year? I soon have an appt with the cardiologist who did my cath.

>>>>: "Fixed Apical/Inferoseptal Defect with Prior MI in the LAD or RCA distribution" info from your first test. Second test, no mention.  Third test: ....rest images (inferior wall, septum, apex), improved perfusion on stress images with persistent defect at the apex - fixed apical defect consistent with infarct scar, apical akinesia.....It seems the tests (1 and 3) indicate a prior myocardio infraction (heart attack) and heart cell necrosis (not viable).

Your ejection fraction is within the normal range (normal is 50-70%) and indicates your heart's contractility strength has the ability to pump 59% of the heart's filling capacity.  If there is serious infarct damage, the heart's ability to pump would be reduced and the EF would be below normal.

The 3 stress tests indicate no coronary artery blockage. There is mild mitral valve prolapse and that is almost always of no medical significance.  20% irregularity at the sheperd's crook indicates some irregularity in the configuration of segment of a vessel or a structure...I don't know the significance of that condition...need more information

Hope this helps provide a perspective to the results of your tests.  If I have missed something or if you have any further questions or comments you are invited to respond. Thanks for sharing, take care

Ken

Blank
Avatar_m_tn
Followup and thanks for your reply:
Had a good report after seeing cardiologist this morning. Low risk, no new cath but should get stress tests for next couple years.
Blank
367994_tn?1304957193
Thanks for your response, and I wish you well going forward.

Ken
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
10555961_tn?1411011933
Blank
69_F100_Ranger commented on photo
2 hrs ago
Avatar_f_tn
Blank
Ashkaikyl88 commented on When Your Cold Is Not...
3 hrs ago
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
8 hrs ago
Heart Disease Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA
Avatar_m_tn
Blank
Occupant
IL