Fixed apical defect would indicate a loss perfusion to that area....cause can be prior heart attack (scar tissue) or some vessel blockage. No previous health issues (known) does not rule out a past heart attack as some heart attacks are without any symptoms. Worst case scenario. There may not be any treatment available and the condition does not cause symptoms. You should get an explanation for the defect.
Actually, the doctor did mention scar tissue and possible past heart attack. I have never had any symptoms and realize many women do suffer the silent heart attacks. I do have low blood pressure and passed out one time. The doc did not mention any other tests.
The low blood pressure may not be related to a heart issue. I didn't have any symptoms until congested heart failure. Told I had prior heart attack and damaged heart cells that impaired heart wall movement (hypokenises) causing low casrdiac output.
i had that on my heart test smallfixedapical defect i felt something in the fall now that i know small heart attack i had it wasnt painfull my dr didnt say to much to much he had a print out for me and he said make sure to take your aprins which i do i am 60 for 20 years i do lots of excercise i usto small smoke pack now 8 a day with a filter i think im so lucky it wasnt anything worse heart is bad in my family for heart women i did have heart murmer when i was young i was born at 6 months i was a 1lb look at me now fighter about weight how do you have a small heart attack and no damage my dr is good his leaving getting to old when i told him i think its my heart i had to beg for a heart test then he did