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Heart Disease  (Expert Forum)
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follow up echo stress test
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follow up echo stress test

by PATTY, Sep 18, 1999 12:00AM
I had a MI in Jan 99. I recently had a follow up stress test. My MD said everything was normal. In the report I recieved it states the following " Immediate post exercise images demonstrate left ventricular function augmenting. Right ventricular function augments. Left ventricular end systolic volume decreases". What does augmenting mean? What is the meaning of systolic volume decreases mean? In another section of the report it states " The lateral wall is mildly hypokinetic" What does this mean? In the resting EKG the report says " Resting EKG reveals normal sinus rhythm at rate of 69. There was low voltage and ST or T wave suggestive of ischemia". The exercise part of the test says no ischemia. How can a person have iscemia resting and none exercising? Thank you for your attention. Patty

by CCF CARDIO MD JMF, Sep 19, 1999 12:00AM
Dear Patty,

These results are confusing without an interpretation.

1) Augmenting menas that your heart is contracting normally.

2) systolic volume decrease is normal.  This means that your heart is squeezing and getting smaller.

3)  this means that relative to the rest of the heart the side wall is not moving as vigorously.  This is normal as much of the mass of the heart is in the front part of the heart.

4)  Your resting ECG cannot determine ischemia.  This is likely read by a computer that is programmed to over state changes.

sounds like everything is normal.  Hopefully this clarifies things for you!
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