myocardial thinning or fixed ischemia

[gerbil350]

I have been admitted to the hospital on several occasions with chest pain and tachycardia; I was given nitro glycerin patches and ekg's were performed. when i got copies of my records from the hospital there was notations on the ekg's as abnormal. i've had several stress test also and the doctors told me everything was okay, however when I got copies of my medical records from the hospital, I noticed that the last stress test had the following notation "on the stress images a small area of slightly diminished uptake is present in the distal anterior wall and appears unchanged between the stress and resting images and may represent an area of fixed ischemia or myocardial thinning."  Each time i have been admitted to the hospital for chest pain i told the doctors the pain didn't seem to have anything to do with physical exertion. the pain has sometimes awakened me in the middle of the night. I was wondering if results of my last stress test were anything i should worry about.

[kenkeith]

Quote: ".... on the stress images a small area of slightly diminished uptake is present in the distal anterior wall and appears unchanged between the stress and resting images and may represent an area of fixed ischemia or myocardial thinning."  

>>The test report indicates there is an area of decreased myocardial blood flow either by fixed vessel occlusion (blockage during rest and exertion), etc. and/or there can be scar tissue that exhibits myocardial thinning (can be damaged cells from a prior event...usually a heart attack).

If there has been a small infarct,  there can or cannot be chest pain associated with an infarct.  There is what is medically referred to as a silent heart attack, and that event does not have symptoms until there is heart failure or cardiac arrest..