Please help me understand 2d echocardiography report, and stress test report and what to do ? should i go for angiography ?
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Male Age 47 years, weight 95 kgs, height 173 cms -- Non smoker, Diabetic - No, Medication - No
Sector echocardiography
Mildly dilated LV, -- Normal size LA,RA and RV-- LV dysfunction. Distal IVS, LV apex and infero-posterior wall is hypokinetic, Overall LVEF 30%-- structurally normal valves-- No evidence of pericardial effusion.
Conventional Doppler
Normal LV diastolic function--There is no gradient across LVOT or RVOT--.
Colour Doppler
Trivial MR (grade<1/111) -- Normal flow across all orther valves
Impression
IHD with LV dysfunction, Overall LVEF 30% -- NORMAL LV Diastolic function.
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STRESS TEST RESULT
Total ex time 4.4 min
Max HR - 143bpm 82% of max predicted 173bpm
Max BP -140/80
Maximum workload 6.6 METs
Reason for termination Asymptomatic ST dep
Comments finding positive for Reversible ISCHAEMIA upto 4.4 min of ex.