Aa
A
A
Close
Avatar universal
anteriolateral and apical reversible
I went into the ER with chest pain that then radiated to my left shoulder then down to my left ring/small fingers. .  At arrival my B/P was 158\108.  My normal is 116/64.  I was given 325mg baby aspirin, and 3 nitro tablets.  I was given a cardiac stress test through nuclear medicine.  the results came back with small anteriolateral and apical reversible. What does this mean and Would you recommend catherization or ct scan?
Cancel
3 Answers
3 Answers
Page 1 of 1
159619 tn?1318997813
Your symptoms and test results would indicate a blockage in the bottom of your heart located towards the back, which is fairly common. The fact that it is reversible means it is not a complete blockage and gets worse with stress. If it were me, I would want the 100% accurate test which is a cath, I wouldn't want to walk away without total confidence. In addition, if it can be treated with a stent they can do that during the cath without another procedure like you will need with the CT.

Let us know how it goes.

Jon
Comment
Cancel
159619 tn?1318997813
Comment
Comment
Submit Comment
63984 tn?1385441539
Words like small and reversible are encouraging, but a stress test is not the gold standard to diagnose or predict heart issues from arterial blockages.  Given the information you have posted, I'd ask for a catherization procedure, as Jon suggests.  Obviously you have some blockage, and it would be advantageous I would think to have the cath to establish a baseline, if for no other reason.
That said, I'd suggest you look at your risk factors.  If you smoke, stop; establish an exercise routine, if overweight, mix some salads into your diet, and if diabetic, control it.  
Keep us informed.
Comment
Cancel
63984 tn?1385441539
Comment
Comment
Submit Comment
976897 tn?1379171202
I think anterior means 'front' ? which would suggest your LAD or diagonals are restricted somewhere, not totally because there was a viability shown with both the stress and the rest scans. As the blockage is affecting the tissue at the base of the left front side, I would suspect distal LAD. With regards to intervention, this will be bases on many things, such as the diameter of the distal LAD. If below 3mm, then it is unlikely they will want to stent, they tend to block as fast as they are fitted when that small.
I have to agree that a Cath is the best option, but I would request they stent in the same procedure if they think intervention is likely to work. Otherwise you will have to go through it all again.
Comment
Cancel
976897 tn?1379171202
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar n tn
Blank
cracker420 commented on When Your Cold Is Not...
17 hrs ago
Avatar m tn
Blank
swapon added the Blood Pressure Tracker
Apr 29
675718 tn?1449992146
Blank
drifter0213 commented on advanced niTD
Apr 28
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222