Aa
Pls Define "No reversible Ischemia
My husband is 50yrs old and has had one heart attach, 4 stents, a mini stroke in the past 5years. can you pls define "NO reversible ischemia" He continues to have chest pain and is on pain mgnt Xolox. and had myocardial ST which showed EF=27%-no reversible ischemia. Can you pls explain this in laymens terms. He has has numberous vists to the hosiptal for what feels like an heart attach, but he put him through an overnight ritural blood enzeyms, and ekg's and tell us his heart is fine, but he still has all the symptons and is being medicated as a heart paitent. We are very fustrated.
ST is an EKG reading that could indicate prior heart attack or ischemia (blocked or partially blocked heart vessels. EF is a term (ejection fraction) that characterizes the percent of blood pumped into circulation with each heartbeat. Normal is 50 to 70%. Below 30% indicates heart failure.
No reversible ischemia (lack of blood flow) indicates hypoperfusion (decreased blood flow) at rest or without stress (exercise, etc.) induced ischemia.
"Injury to the myocardial cells results when the ischemic process is more severe. Subendocardial injury on a surface ECG is manifested by ST segment depression, and subepicardial or transmural injury is manifested as ST segment elevation. In patients with coronary artery disease, ischemia, injury and myocardial infarction (heart attack) of different areas frequently coexist, producing mixed and complex ECG patterns".
Decreasing coronary perfusion causes an immediate decrease in contractile function (EF)via unknown mechanisms. It has long been suspected that this contractile dysfunction is caused by ischemia-induced changes in cardiac energetics (physics of energy and its transformation)."
Your husband's condition may be due to sepsis. Defined as response to a confirmed infectious process. Infection can be suspected or proven (by culture, stain, or polymerase, etc.) Severe sepsis is defined as sepsis with organ dysfunction, hypoperfusion, or hypotension.
No reversible ischemia (lack of blood flow) indicates hypoperfusion (decreased blood flow) at rest or without stress (exercise, etc.) induced ischemia.
"Injury to the myocardial cells results when the ischemic process is more severe. Subendocardial injury on a surface ECG is manifested by ST segment depression, and subepicardial or transmural injury is manifested as ST segment elevation. In patients with coronary artery disease, ischemia, injury and myocardial infarction (heart attack) of different areas frequently coexist, producing mixed and complex ECG patterns".
Decreasing coronary perfusion causes an immediate decrease in contractile function (EF)via unknown mechanisms. It has long been suspected that this contractile dysfunction is caused by ischemia-induced changes in cardiac energetics (physics of energy and its transformation)."
Your husband's condition may be due to sepsis. Defined as response to a confirmed infectious process. Infection can be suspected or proven (by culture, stain, or polymerase, etc.) Severe sepsis is defined as sepsis with organ dysfunction, hypoperfusion, or hypotension.
Have an Answer?
You are reading content posted in the Heart Disease Community
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.
