one Dr says mild Heart attack...other says nothing to worry about???

[Kate_Mich]

I had an echo and a stress test done and the results were...Mild cardiomopathy with anteroseptal hypokinesis (ejection fraction 45%)  Dr sent me to a cardioligest where they did  Gated SPECT cardiolite myocardial scan and exercise cardiolite myocardial scan. results were mild intensity perfusion defect in the anterior wall without any evidence of reperfusion on the delayed images.. Gated SPECT analysis reveals an ejection fraction of 62%..what does all of this mean... my family Dr at first said it looks like I have had a mild heart attack at some time or another...now they tell me I am just fine???? Should I be concerned about this?

[Douglas Bogart, MD]

The nuclear stress test and the echo findings would be consistent with a small anterior MI.  A fixed defect with no re-perfusion suggests a prior MI as does the anterior septal hypokinesis on the echo.  The only thing that is discordant is the normal ejection fraction on the nuclear scan.  I think you should get another opinion to make sure all the tests interpretations were correct.

[Kate_Mich]

Thank you  for taking the time to answer my questions...This is a great forum and  greatly appericated..Have a GREAT DAY  :-)