What does this mean? Abreviations on test results.

[Barnabas]

I have some abreviations that I can't figure out. Can anyone help me with these? Can someone please tell me what this test result is trying to say?  (Nuclear stress test)

The sentence goes like this: ECG resting study showed NSR
and NS-IVCD, NSSTTW changes. ????????????????????/
NO significant STTW changes were noted during stress.
No significant arrhythemias were dected during stress ior the recovery period.
What is a non transmural scar? It is in a sentence that says consistent with an area of reversible mild inferior ischemia mixed with non-transmural scar in the right cornary artery.

The whole things ends with "techincally difficult study due to attenuation artifact"

Don't say ask your doctor. He is in the medical center area of Houston, and frankly a jerk. Doesn't have time or patience to explain things.

Please help. Last time I posted, no one bothered to reply.

and from the ECHO.............Left ventricular hypertrophy with ejection fraction estimated 70%
The ejection fraction I get just fine, which I believe is acceptable, but put all together in this sentence I am not sure I am understanding at all. Never saw an echo report like this one.

[Barnabas]

So what was the end result of the holitor? (did I spell that right...I know what it is though)
Instead of laughing I would have probably just asked something like "DON'T you know what the H you are doing?" Ah inquisitive minds, huh?

I actually did get a minor garbled report from the Nasty Cardio's tech. After all, he was too busy to be bothered. Hence my damanding a copy of the test itself.
Surely on Friday,they will want to prescribe something, or change the BP meds. We'll see. The only thing I couldn't really figure out was the NS-IVCD after I got all the translations of abreviations.  All I could find were abstracts with things non related to my issue. I will definitely post back here with the news Friday evening.  Meanwhile I am waiting to hear from my friend out of state who does medical evaluations and research for an attorney. She should be able to tell me something, ya think? I mean heck, she used to work as a physc nurse !! LOLOLOL
Thank you ALL for answering these questions. It has helped my mental state more than you can know.

[kitcurious]

Let your doc explain it to you.  As a non medical professional, trying to interpret results (unless they are obviously stated terms like normal,trivial, insignificant etc) is too difficult.  One just doesn't have the medical background and experience to do that in context, and can become rattled by reading about other cases/scenarios that are actually very different from one's own.

In my personal experience, docs, techs and nurses do not have the poker faces they may imagine they do. One of the funnier times was when, during a check-up, my GP's nurse took an EKG. She ran the strip, looked at it, looked perplexed, head popped up and said "I'll be right back" came back, repositioned the leads, ran another one, looked at it, popped back up and again said "I'll be right back" and the doctor (one I just love) came in immediately and animatedly said "Now, don't panic but..." LOL They put me on Holter that day.

Had I less of a humorous take on it I certainly might have panicked, but I knew I wasn't going anywhere anytime soon LOL

The point is, if they find that there is something even possibly wrong, they not only do not keep it from you (not ethical),but they are also human and most wouldn't know how to keep their concern undetected even if they wanted to.

Country Bumpkin doctors...check out the first episode the pharmacist "Miss Ellie" is in on Andy Griffith. LOL Her "citified" ways come into conflict with an older lady in the town who wants her "pills".

I'm not sure the web cruising personality types would have gotten along with that old-time type of doctor. They tended to expect to be taken at their word, not questioned. Doctors in small towns were practically deified. The town I live in was renamed, to a name the doctor liked, in order to get him to come here. LOL

Hope all goes well on Friday.

[sugarcane]

NSR- normal sinus rhythm
NSIVCD- non-specific interventricular conduction delay
NSSTTW- non-specific ST segment and T wave changes

As I am sure you know, these are just what the abbreviations stand for (to the best of my memory). Only a physician can make a diagnosis and tell you the significance of the findings.

Good luck.

[Toneman]

Let me start out by saying that you really do need to ask your doctor these questions, however I can tell you a couple of things based on having a few nuclear scans myself. Anytime they mention a reversible defect it indicates a blockage in your artery at stress, but not at rest and a scar generally means there is some damage from a previous cardiac event. The issue in reading yours is due to soft tissue attenuation, which simply put means that the pictures are not as clear as they would like due to either excessive breast tissue or in men it's more likely to be diaphramatic attenuation due to a large abdomen.

But again, with the items mentioned in your results you really need to see your cardiologist or get a second opinion. It's your test and you can get a copy of the results sent to another cardiologist. If it were me, I would be seeing cardiologist for some clearification as some of these things should be discussed and it just is not worth taking a chance.

Good luck

[Barnabas]

Thank you so much erijon. I did look the non transmural scar
up on another site, and it does mean no cardiac event or infarct. What it said was "something else or something less"  
I am still looking for the abreviations.  Anyone have a clue??
All I could decipher was NSR which was normal sinus rhythum.
Will  see the internist Friday. He got Iced out today. Lives to the NW of our area, and just couldn't make his appointmenst.  I just have no patience.

[mmfd]

IVCD means intraventricular conduction defect and I think the NS before it means NON significant IVCD.  And the other I think means non sig. ST and T wave changes.  I am not a doctor, though, but I hope this helps!

[Barnabas]

Nope. for the grand old fee of $250 dollars we saw him less then 3 minutes. Ran in, ran out. Had his "fellow" do the other 5 minutes where they checked you with the stethescope and ask what meds you are taking. Not even sure that too a whole 5 minutes. This guy isn't interested in the patient, he is interested in testing and money. Tried to get a followup appointment. He apparently isn't interested in seeing me. Collegegirl:
I just need someone to translate, and I can figure out from there how badly I need to see another cardio..whether instantly or if it can wait a week or three.
Thanks.

[Barnabas]

Thanks to both of you.
(mmfd and sugarcane) for the definitions. This helps a lot. Now when I see the Internist Doc on Friday
I can be well versed. I hate not knowing something. I am sure that he will find someone else for me to see who can take some time. My internist btw, is a great guy, and has no problem talking to his patients.

[anacyde]

The abbreviations have been covered, so the only info I have to add here is find a new doctor.  That sort of treatment is unacceptable.  You should have some clue of what's going on with your health, and I don't think you got any questions answered at all.

[Barnabas]

anaclyde: This whole thing has been a nightmare. I could now write a book on the attitude of The doctors on Fannin St in Houston. I have a previous experience (non related) down there that is just as bad, perhaps worse. It lasted a lot longer though, and Really wish I would have had the nerve to dump that group.  This is an area where they have multiple hospitals, teaching facilities, and  so many professors and specialists your head would swim. Each one has his or her  own agenda, and they tend to pass their victims around for multi abuse or something.  Anyway, as I said, will see good Doc on Friday, tell him the experience, and will find someone else.  Betcha he doesn't send anyone else over there anytime soon.
I read where someone here said they wanted a country bumpkin doctor. If anyone knows of one on the South Eastern side, just outside Houston, let me know.
Thanks again to you all. I so much appreciate your help.

[CollegeGirl143]

its much better to ask your cardiologist for his opinion on your echo, rather than people who are not really qualified to give you the answers you're looking for.. Interpretting raw data is something that needs to be done by a professional, your cardiologist didnt go over the findings with you?

[Barnabas]

Forgot to mention that the echo shows NON significant mitral, aortic or tricuspid, or pulmonic regurgitation.