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Any help on what this all means?
I am a Vet so this Thallium stress test was performed at the VA. Test get posted quickly online but follow up by a doctor can take weeks. These results were just post and I'm trying to figure out if should be relieved or more worried. Any input would be appreciated.
The posted results are as follows:
"Exercise stress and rest myocardial perfusion SPECT
showed no areas of abnormal perfusion which indicate the presence
of myocardial ischemia, infarction, or hibernation. There is an
area of decreased activity involving the inferior region of the
left myocardium on both rest and stress images, worse at rest,
more likely related to diaphragm attenuation artifact.
The extracardiac distribution of radioactivity was normal.
Left ventricular volumes, left ventricular ejection fraction, and
regional wall motion could not be evaluated due to the presence
of a cardiac arrhythmia.
Impression:
Exercise stress myocardial perfusion SPECT scan at 105% MPHR
shows no evidence of myocardial ischemia, infarction, or
hibernation, as described above."
as background, I am 69 and normally considered to be in good shape except that I have back surgery scheduled in 2 months for severe lumbar stenosis. I bike 50- 100 miles a week and have a resting heart between 45-50.
Thanks for any input,
eric
The posted results are as follows:
"Exercise stress and rest myocardial perfusion SPECT
showed no areas of abnormal perfusion which indicate the presence
of myocardial ischemia, infarction, or hibernation. There is an
area of decreased activity involving the inferior region of the
left myocardium on both rest and stress images, worse at rest,
more likely related to diaphragm attenuation artifact.
The extracardiac distribution of radioactivity was normal.
Left ventricular volumes, left ventricular ejection fraction, and
regional wall motion could not be evaluated due to the presence
of a cardiac arrhythmia.
Impression:
Exercise stress myocardial perfusion SPECT scan at 105% MPHR
shows no evidence of myocardial ischemia, infarction, or
hibernation, as described above."
as background, I am 69 and normally considered to be in good shape except that I have back surgery scheduled in 2 months for severe lumbar stenosis. I bike 50- 100 miles a week and have a resting heart between 45-50.
Thanks for any input,
eric
Best Answer
Your heart has passed with flying colours. There are no signs of previous heart attack and your images gave an artifact which means the image was blurred by another part of your body. This artifact was thought to be your diaphram which means it can be ignored. The only thing I can't understand is where it mentions a cardiac arrhythmia ? "left ventricular volumes....due to cardiac arrhythmia", did something happen with your heart rhythm after the radioactive dye was injected?
I don't think it needs rescheduling but I can't help what the arrhythmia notice was on your report. Perhaps you could inquire about it?
Thank You very much. Nothing to my knowledge happened. At least nothing was said to me.
One reason I'm so concerned is that I have lumbar stenosis surgery scheduled for July 30 and I really don't want to postpone that. Any further thoughts?
This test was performed because of the following:
The resting HR was 57 BPM
And BP 132/82 and max HR was 169 BPM and BP was 210/68. Reached 111% of
Maximum predicted HR. At 6:30 there was ST segment depression in the lateral
And inferior leads with >1 mm ST segment depression. Treadmill was at 4 MPH
With a 4% slope. During recovery the ST segment depression returned to
Baseline. Patient has no symptoms suggestive of cardiac ischemia during the
Testing or at any time prior.
One reason I'm so concerned is that I have lumbar stenosis surgery scheduled for July 30 and I really don't want to postpone that. Any further thoughts?
This test was performed because of the following:
The resting HR was 57 BPM
And BP 132/82 and max HR was 169 BPM and BP was 210/68. Reached 111% of
Maximum predicted HR. At 6:30 there was ST segment depression in the lateral
And inferior leads with >1 mm ST segment depression. Treadmill was at 4 MPH
With a 4% slope. During recovery the ST segment depression returned to
Baseline. Patient has no symptoms suggestive of cardiac ischemia during the
Testing or at any time prior.
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