Positive stress test

[Jimt7]

Past 25 years annual physicals including stress tests. Always negative. However, just completed exercise echocardiogram at stress, positive for anterior apical myocardial ischemia. Completed through stage 5. Negative for chest pain, normal blood pressure response to stress. EF 66% at rest to 80% at peak stress.
Stress ECG negative for ischemia. Normal left ventricular geometry. Normal global and regional left ventricular systolic function.  Wall motion score 1.00 baseline, 1.19 at stage 5 exercise. Echocardiogram findings showed hypokinesis at anterior mid and anterior and posterior apex. I have absolutely no symptoms and am in very good physical condition, not overweight, never smoked, and very little alcohol.
Question: what would be next steps to confirm this finding? And if confirmed, what type of treatment can be expected? And how serious is this condition?
Thanks,
Jimt7


This discussion is related to Dad's stress echo.

[kenkeith]

Q: "Echocardiogram findings showed hypokinesis at anterior mid and anterior and posterior apex."

A: Hypokinesis indicates heart wall movement impairment.  That condition is almost always assoicated with a lack of sufficient blood/oxygen to the area in question.  Many individuals have a lack of blood flow to the area due to occlusion of coronary arteries.  Also, there can be a depletion of oxygenated blood due to low oxygen level in the blood.  

Or there could have been an episode of a silent heart attack sometime in the past.  That was my experience.  

However, your hypokinesis is minor because your heart is contracting sith sufficient force to provide a normal EF (amount of blood pumped with each heartbeat) of 66%,  Normal is 50 to 70%.  An EKG should done again in the future.  I don't know of any way to verify other than a subsequent echo.

Hope this helps and if you have any further questions or comments you are welcome to respond.  Thanks for the question, take care.

Ken