Cardiology

[Drorbilla]

My husband 31 yrs, 70 KG wt, totally asymptomatic non diabetic, non smoker, non alcoholic, non hypertensive,  slightly raised blood cholestrol level (6.0 m mol/dl) with normal LDL and HDL levels, gone thru routine investigation and in ECG T wave inversion in III and AVF lead, ETT positive and thalium scan showed mild reversible perfusion defect in apical and inferior wall. HR was 100% achieved at stress, but no symptoms developed at rest or at stress. What would you suggest; should we go for angiography or CT angiography? or he might be put on some vaso dilators? kindly give your worthy opinion.

[Drorbilla]

Thanks alot for your opinion. Will keep you posted after cardiologist's advice.

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Mildly reversible defect on a nuclear stress test has a very good prognosis, but it may be suggestive of coronary artery disease. It may not need further invasive procedures. For this preventive pharmacotherapy is indicated. Aspirin and statins have been shown to reduce the risk of heart attacks in people with coronary artery disease, even if asymptomatic. Please discuss this with your doctor am sure he will provide further assistance.

Hope this helped and do keep us posted.