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nuclear stress test result
Im 49 years old male with no history of heart problems. active, blood pressure and cholesterol levels ok.
I recently noticed I get tired too quickly playing sports but not short of breath during normal activities so had EKG, echo and nuke test done
I was shocked to see this result but my cardiologist used the terms possibility and minor
Can someone tell me what this result mean, it doesn't say anything about blockage?:
Myoview scan report:
on the post exercise images there is decreased uptake in the left ventricular apex. this demonstrates good reversibility on the resting study. there is also mildly decreased intensity in the inferior wall but is likely due to diaphragmatic attenuation artifact. the ejection fraction is %57 post exercise and 61 at rest. there is no focal wall motion abnormality.
impression:
clinically negative, electrically negative but perfusion positive study. mild reversible perfusion defect was noted at the apex. LVEF %57 post exercise and 61 at rest. findings are suggestive of coronary artery disease in the distal LAD territory. clinical correlation recommended.
thank you in advance
I recently noticed I get tired too quickly playing sports but not short of breath during normal activities so had EKG, echo and nuke test done
I was shocked to see this result but my cardiologist used the terms possibility and minor
Can someone tell me what this result mean, it doesn't say anything about blockage?:
Myoview scan report:
on the post exercise images there is decreased uptake in the left ventricular apex. this demonstrates good reversibility on the resting study. there is also mildly decreased intensity in the inferior wall but is likely due to diaphragmatic attenuation artifact. the ejection fraction is %57 post exercise and 61 at rest. there is no focal wall motion abnormality.
impression:
clinically negative, electrically negative but perfusion positive study. mild reversible perfusion defect was noted at the apex. LVEF %57 post exercise and 61 at rest. findings are suggestive of coronary artery disease in the distal LAD territory. clinical correlation recommended.
thank you in advance
Yes which is why cardiologists in the UK generally use it to back up previous tests. Its main function here is to see if there is any dead heart muscle.
I had an angiogram and found out that I am fine, Another case of false positive from nuclear stress test.
The nuclear scan is pretty good and can be used to backup other things such as angina symptoms. Medications work in a way to help your heart. They prevent it working so hard and drop blood pressure to aid it even further. If medication helps they will usually just wait to see if you present yourself with new or stronger symptoms and then decide whether to increase medication or do another investigation with the aim of intervening (bypass/stent).
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"on the post exercise images there is decreased uptake in the left ventricular apex. this demonstrates good reversibility on the resting study"
"suggestive of coronary artery disease in the distal LAD territory."
They do mention a blood flow restriction in the bottom of the LAD vessel. I think they will either continue with medication therapy or perform an Angiogram.