Aa
Aa
A
A
A
Close
Avatar universal

How accurate is an echocardiogram in diagnosing septal infarct?

A series of ecgs suggested I had a septal infarct (qs in v1 & intermittently v2). It would have been silent as I have had no symptoms. My echo came back normal. Is it possible for the echo to miss an old heart attack? My doctor doesn't think any further investigation is warranted but I'm not convinced. 
Thoughts?
3 Responses
Avatar universal
Yes, best scan is nuclear med. For this.  Possible a cmr if fibrosis is a possibility
1 Comments
Thanks for your response. Would a CMR give similar information to a nuclear med? I would be able to get a CMR but not a nuclear med.
Avatar universal
Its pretty different in what they show... nuc scan gives direct info on lack of flow ( ala bloackage) cmr shows anatomy ( even micro really well) but ischemia not as well, unless its caused infarct.
3 Comments
Im most interested to find out if there is an infarct rather than ischemia. So will CMR be able to identify infarction?
Yes. Especially, if you started developing fibrosis in that area.  A cmr with contrast will certainly do the job!
Thank you :)
Avatar universal
No prob
Have an Answer?

You are reading content posted in the Heart Disease Community

Top Heart Disease Answerers
159619 tn?1538180937
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.