I worked up the courage to do the nuc myoview. I suffer from vasovagal syncope and just can't do the angiogram: too many risks. I did the running, instead of medication for higher heart rate. I just turned 66.
No chest pain now that I've reduced my life's stressors.
Overall study was good. Normal sinus rhythm. QRS: poor R-wave progression.
ECG demonstrated Sinus tachycardia.
Resting defect # 1.SPECT images demonstrate a small (1-2 segments) perfusion defect, of mild intensity. Located apical anterior.
Stress defect # 1.Stress SPECT images demonstrate a medium (3-4) perfusion defectof moderate intensity. The defect is located in the following regions: mid-anterior, apical anterior, apex.
TID: The sum differential score is 5. Wall motion:
Gated SPECT imaging reveals normal myocardial thickening and wall motion.
Ejection fraction: Calculated left ventricular ejection fraction was 54%.
Transient ischemic dilation was NOT present.
ECG portion of stresas test reveals NSR.
Patient's blood pressure response to exercise was hypertensive.
Maxium heart rate (90%) was achieved.
Patient's exercise capacity was ABOVE AVERAGE.
No REgional wall abnormalities.
Defect # 1. There is a medium moderate reversible defect in the following region(s).: mid-anterior, apical anterior, apex. This is indicitive of ischemia. (I think this was said earlier in the report above.
I just cannot bring myself to do the angiogram. I believe I had a silent heart attack or stroke in Sept. 2014 when I asked to be lying down for an IV and he said, "Don't worry, we'll catch you. I vomited until dry heaves, I couldn't talk, and I felt my face was drooping. I had to be wheeled out backwards because for the first time ever, I had motion sickness going forward. I had to be carried upstairs. It took 4 blankets, a heating pad and 5 hours before I got warm. Awful experience.
Wouldn't an MRI with contrast do the job? I don't want to put off any further testing.
Also, I recently ordered quality grade systemic enzymes and all the supplements and turmeric supplement. Thought I'd give it 6 weeks to see if ECG becomes normal.
What thoughts do you have on this?