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I was told the result of my stress test revealed a sizable fixed region of diminished perfusion involving inferior wall of the ventricle extending to the apex, also a less smaller less conspicuous focus of diminished perfusion involving the anterior wall of the left ventricle, what does all this mean?
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1621443 tn?1299325912
MEDICAL PROFESSIONAL
Nuclear stress tests evaluate the flow of blood to each area of the heart during periods of rest and stress. If there is an area that appears to have normal blood flow during rest and decreased blood flow during stress it could signify a potential blockage. Patients with decreased blood flow during both rest and stress may have had a previous heart attack in this area. Please notice that I say maybe - these tests are not perfect and can be affected by many different factors. For example the inferior wall can commonly be affected by an artifact that appears on the scan from the stomach. For this reason, patients with abnormal stress tests will often be scheduled for further testing with something like a heart catheterization in order to provide a definitive answer.
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367994 tn?1304953593
There appears to be lesions or occlusion at the regions of the heart given that inhibits a good flow of blood.  If you have symptoms of chest pain, that may be the source indicating reduced perfusion (blood flow) and the pain would be associated with the heart cells not receiving a good supply of blood. Therapy can be medciation to dilate vessels, stent to mechanically open the oclusion or a bypass.  

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