myocardial perfusion scan

[zanthic]

I was going through old papers and came across a scan I had done in 2004 and read it. normal size, no abnormal extracardiac uptake of tracer, signigicant gut uptake of tracer near and overlying the inferior wall. tomographics images demonstrates a large, fixed inferior and inferior septal perfusion defect from apex to base which includes the entire apex.  also moderate reversible inferior lateral perfusion defect from apex to base and a moderate reversable anterior septal perfusion defect from apex to mid ventricle.  Gated study demonstrates moderately decreased thickening and moderate hypokineses of the inferior wall as well as decreased thinkiening of the apical half of the anterior septal wall.  the left ventricular ejection fraction is 55%, impression: there is inducible ischemia in the apical half of the anterior septal wall and in the entire inferior lateral wall as well as a prior infarction of the inferior/inferior septal walls,  What does all this mean, i was released and told I was fine and they found nothing significant, should I have been following up on this and telling my doctors about as I have long since moved from there?  Please I am being very nervous about this now.

[zanthic]

Yes they did a cardiac cath and said it was fine, I was having chest pains and hard to breath, I worked in SICU and the doc making rounds walked me over there to do testing, at the time I was 3 years out from chemo treatments for stage 4 breat cancer, the part that bothered me was saying it was leaking into my gut, when they tried to do the treadmill test I starting throwing PVC's in the first 2 minutes so they put me on monitors for 5 hours then sent me home.  I feel OK now, get flutters on occassion but figure that is normal for me, I have had seizures that can not be reproduced since I was 14 and all they say is I stand up to quick, but they happen even while I am shopping or just walking and I have learned to control them cause they have a warning sign where my head feels like it is beating like my heart and then I feel the sway feeling in my head and if I sit or squat and close my eyes it passes with just a little swaying but if I don't it is full fledge convulsions and my eyes roll up. Just normal for me I guess
since every Doctor I have told about it and asked has done some test and said they found nothing, I had a nuclear brain scan after my cancer and they did not say they found anything.

[CCFHeartMD19]

hello there,

It is hard for me to give you an accurate assessment of your situation without knowing more about your clinical history but I would try to answer your question to the best of my ability.

I presume that you had some symptoms suggestive of a heart problem which led to this stress test.
The stress test is not normal and depending on the clinical situation should have been followed by further testing including but not limited to a cardiac catheterization.
That being said, the stress tests are notorious for being false positive and it is likely that there were prior stress tests which were unchanged or that your symptoms were not totally convincing of heart disease.
Again, very difficult to comment more than this without knowing the clinical history.
If it raises concern in your mind, please seek a consultation from a cardiologist and review all your old testing and your symptoms to determine further plan of care.

CCFHeartMD19