I am a 64 year old, white, female, not really active, but don't just sit all day. Have been feeling fatigued and short of breath for quite a while. Pulmonary dr. did Pulmonary Function Test and Chest CT Scan, all good there. I saw my cardiologist and he ordered a nuclear PET stress test. Results follow. I have noticed on my PCP records that over the past 3 years or so my resting HR is in the 70's or 80's at their office. Bad cardiac family history. I also have mitral valve insufficiency; scheduled for echocardiogram on 02/26/2020. Any reason to be concerned?
Reason for Appointment
1. PET - SP
Vital Signs
Wt 150 lbs, Ht 61 in, BMI 28.34 Index, BP 106/66 mm Hg, HR 70 /min, Oxygen sat % 99 %.
Examination
Stress Test:
Nurse: Bill Farmer, RN.
Technologist: Robin Jones, CNMT.
Ordering Physician: Dr. Pasupuleti.
Interpreting Physician: Dr. Pasupuleti.
Study Quaility: Good .
Procedure: Cardiac Positron Emission Tomography: The patient underwent a stress test utilizing 0.4mg of IV Lexiscan infusion over 10-15 seconds. The patient experienced stomach pressure during the procedure and received no medications. The patient had a myocardial perfusion imaging performed using same day imaging protocol, with the injection of 30.0 mCi of Rubidium-82 at 30 seconds into Lexiscan infusion, and the injection of 30.0 mCi of Rubidium-82 at rest. Imaging was performed by gated resting and gated stress technique ,.
Data Summary:
TID: 1.06
Resting EDV: 47
Resting ESV:5
Resting EF:88%
Stress EDV: 47
Stress ESV:4
Stress EF: 92%
Baseline BP:103/66
Baseline HR:70
Peak Stress BP:76/46
Maximum HR Achieved:94 .
Exercise Level: N/A .
*Pre-Stress EKG: Normal Sinus Rhythm .
*Stress EKG: Normal Sinus Rhythm , No ST changes.
*Arrhythmias observed None .
*Resting Left Ventricle size Normal .
*Peak Stress Left Ventricle Size Normal .
*Right Ventricle appears Normal .
*Post stress global LVEF is Normal .
*FINDINGS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%).
2. Normal wall thickening.
3. Normal LV systolic function..
*CONCLUSIONS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%). Low risk stress test.
2. EF 88%
3. Normal LV systolic function..
Assessments
1. Anginal equivalent - I20.8