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echo results

I have suffered from chest pains off and on for 2 years. Had an echo when it first started and it was negative.  The cardiologist told me to diet and exercise and that i may have had a mild myocardial infarction!!
i lost 40 pounds, began regular exercise, diet.  Took Prinivil and Zocor (which i am still on) the chest pains are still happening when i am at rest.  I can be sitting at the computer or sitting in a chair reading a book when it hits..never when i am active!!! My Pcp put me on nitro and told me to use them...so i am...
i had another eco 2 weeks ago. The post exercise results are: the left ventricular size did not decrease and the anterior and anterolateral wall appear not to increase in contractility, specifically the mid anterior wall appears to be hypokenetic post exercise.  my Ejection fraction was 60% i achieved hax heart rate at 160 and really thought i had done well.  Now they are sending me back to a cardiologist.  I am not sure what it going on. they also noted that i had ischemic changes since the previous study 2 years ago!!!
just wanted some input from others who may understand this. thanks Tabitha
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367994 tn?1304953593
Hypokinetic indicates some heart wall movement impairment.  Can be due to damaged heart cells caused by ischemia (lack of blood flow) to the areas in question usually due to vessel occlusion.  Can't be too serious as the ejection fraction is normal ...normal is 55 to 75% and indicates the amount of blood pumped with each heartbeat.

Ischemia will cause heart pains, and nitro dilates coronary arteries providing more blood to deficit areas.
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