rest only images obtained during strest test

[betlo]

rest only images obtained during my stress study secondary to atrial fibrillation with an uncontrolled ventricular response upon presentation.  second point noted on report was:  mild severity defect of the distal and apical inferoseptal segments as well as borderline severity defect of the entire interior wall are noted. While these are likely secondary to diaphragmatic attenuation, the possibility of previous infarct in any of these segments cannot be completely excluded without the aid of a regional wall motion evaluation.

WHAT THE HELL DOES THIS MEAN?  I had to practically beg my cardiologist for a copy of this report which I just recently received.  When I asked him what it means, he just said that he would have to do further studies; then it was time to end the office meeting.  I see my internist on Monday - do you think he should be able to give a thorough explanation?


This discussion is related to Wall Motion.

[mammo]

Don't allow this doctor to bully you like that.  You have a right to have this explained to you in a way that you can understand!  Maybe he didn't know and was trying to buy time.  Take it with you to your internist, but I think I would find a different cardiologist!

[erijon]

mammo is correct, make your doctor sit down and explain the printed report to you, it's your right.

Jon

[Flycaster305]

ditto and ditto, what mammo and erijon said. I would add, wall motion definition isn't going to be understood until you get an Echocardiogram in my opinion.  I would insist on a explanation and would request an Echo.  Best wishes, and keep us informed.

[betlo]

thank you all for your feedback.  the written report re: the resting stress test  that i just received last week was for a test that i took LAST  YEAR - July of 08, just a few months after i was diagnosed with afib.  a few times i asked my cardio doc for a written report ( (like i have received for several echocardiograms i had done), and he always said there is no report because you did not complete the stress part. now, since i nagged him, he finally gave me the report.  During several past visits, i saw him review this report ini his computer , so I knew there had to be something to give me!! i recall during a past visit he mentioned the possibility of trying the stress test again, but he never ordered this.  my first echocardiogram showed i had bad case of cardiomyopathy - very poor left ventricle ejection fracture ( i think the word "fracture" is incorrect.)  then after i had cardioversion, afib was controlled; subsequent echo showed ejection fraction normal.  my diagnosis was tachycardia-induced cardiomyopathy.    my cardio doc always spends alot of time answering my questions, but i get nervous just being there and forget to ask the right questions sometimes; then i can't remember what he told me.   my last echo was about a year ago.  he did an EKG last week and i am NOT back in afib.  i will discuss heart condition with my internist tomorrow.  i find the heart stuff all very confusing.  and i'd like to know who dreamed up 17 different types of arrythmia.
thanks again for your feedback.

[erijon]

I know what you mean about forgetting to ask questions, happened to me before I started writing my questions down before my appointment. That's the only way I can remember to ask everything I had questions on!

Jon