Hi DR. , I have posted in other forums but need an opinion from another DR., please! I am a 54 year old female, Hyperlipidema, Father died of Acute MI at age 60. I about 20-25 pds overweight since hurting my back.
In April of this year, I suffered epsiode sudden chest pain, squeezing pressure, hard to breathe, pain to jaw, nausea, sweating, feeling faint , impending doom , episode lasted at least 15 minutes. Just wanted to get home, Took 1 asp and went to bed. Should of gone to ER, but was in denial. Saw my DR. for presurgical foot clearnace a couple of weeks later, reported the chest pain. ( Episode occured while standing in Video Store ) Dr. referred me for a Stress test, put me on Nitroquick, added Zetia to meds. Told to avoid physical exertion .
Results of Stress test on 04-28-08. Dipyridamole Stress Sestamibi Myocardial Perfusion Scan and Cardiac Wall motion Analysis..stress imaging of the heart.
Finding.Myocardial perfusion--there is normal perfusion of the left ventricular myocardium at stress with no segmental stress perfusion score greater than 1.. There is decreased perfusion at rest in the inferoseptal region. This reversed
perfusion defect may indicate an area of recent infarction on resting imaging and stunned myocardium on stress imaging. This reversed finding may occur with a recent infarction.
Impression: There was a REVERSE PERFUSION DEFECT N THE INFEROSEPTAL REGION AND THIS IS ASSOCIATED WITH HYPOKINESIS OF THE SEPTUM AND INFERIOR SEPTUM NEAR THE CARDIAC APEXAND MID CARDIAC SEGMENT. THIS AREA DOES NOT PERFUSE NORMALLY ON STRESS IMAGING. THE SIGNIFICENCE OF A REVERSE OR PARADOXICAL PERFUSION DEFECT VARIES BUT THIS CONDITION
MAY OCCUR WITH A RECENT MI, PARTICULARY AFTER REVASCULARIZATION OR THROMBOLYTIC THERAPY.
CLINICAL CORRELATION IS ADVISED.
I. Thank you again Dr.
fluffypurrcat