Aa
what does all this mean?
Please help. I had a stress test and they said it was ok. But, on my report it listed.the following:
Lbbb, pacemaker, uncontrolled Afib/aflutter
Beta blocked (unable.to attain 85% maximum predicted heartrate)
Severe bradycardia with heartrate <40
Unstable Angina
Severe Aortic Stenosis
I am a 54 year old female with family history of cad. I just want to know what all this means. Thanks
Lbbb, pacemaker, uncontrolled Afib/aflutter
Beta blocked (unable.to attain 85% maximum predicted heartrate)
Severe bradycardia with heartrate <40
Unstable Angina
Severe Aortic Stenosis
I am a 54 year old female with family history of cad. I just want to know what all this means. Thanks
"reversible anterior wall perfusion defect" no. This means that there is an artery blockage on the front of the heart, but not total yet.
Thank you for your responses. I am not on any beta blockers and do not have a pace maker. I listed everything as was on my report. I am currently waiting to hear how my echocardiogram went. There has been no request for me to see a cardiologist. I am going to request an outside consult. I have family history of severe blockages and am not quite satisfied with the care I am receiving. I just checked my stress test from last year (prior to my 3rd hip replacement) and it listed a condition "reversible anterior wall perfusion defect"?? I was cleared for surgery so I guess this is something that is normal.
Adding to above comments, what is your blood pressure? Some people simply have a very slow heartbeat rate which is normal for them. However, low blood pressure is quite dangerous. A few months ago I passed out and went through the shower doors because of low pressure, injuring me severely enough I had to be the trauma center.
I think you mean you are taking a beta blocker, which is a medication. They indeed slow the heart rate and reduce blood pressure. Perhaps you need a lower dose.
I also have severe aortic stenosis but for whatever reason I'm not getting much leakage. As to A-Fib, mine was fixed by what is called an ablation as the medications for A-Fib can be extremely intrusive.
My point is we are all different, and without the advice of a cardiologist it would be like flying in a jet with a prop qualified pilot. You need a specialist to study your particular profile. Keep us informed.
I think you mean you are taking a beta blocker, which is a medication. They indeed slow the heart rate and reduce blood pressure. Perhaps you need a lower dose.
I also have severe aortic stenosis but for whatever reason I'm not getting much leakage. As to A-Fib, mine was fixed by what is called an ablation as the medications for A-Fib can be extremely intrusive.
My point is we are all different, and without the advice of a cardiologist it would be like flying in a jet with a prop qualified pilot. You need a specialist to study your particular profile. Keep us informed.
Ed's analysis of those conditions is a good one.
But the point is that *IF* you really have all these cardiac findings, then your stress test was definitely not 'ok,' and you seriously need to be under the regular care of a cardiologist.
I cannot understand how, even by VA medical standards, a person taking beta blockers, who has a pacemaker keeping the heart rate under 40bpm, who has uncontrolled Afib, unstable angina, as well as severe aortic stenosis, could possibly NOT be under the very watchful care of a cardiologist.
In terms of decent medical practice, this makes no sense, for this collection of findings indicates serious cardiovascular disease *as well as* treatment currently under way. For example, if there is an implanted pacemaker, someone other than a GP surgically implanted it--and for reasons that were known and understood by a specialist.
But the point is that *IF* you really have all these cardiac findings, then your stress test was definitely not 'ok,' and you seriously need to be under the regular care of a cardiologist.
I cannot understand how, even by VA medical standards, a person taking beta blockers, who has a pacemaker keeping the heart rate under 40bpm, who has uncontrolled Afib, unstable angina, as well as severe aortic stenosis, could possibly NOT be under the very watchful care of a cardiologist.
In terms of decent medical practice, this makes no sense, for this collection of findings indicates serious cardiovascular disease *as well as* treatment currently under way. For example, if there is an implanted pacemaker, someone other than a GP surgically implanted it--and for reasons that were known and understood by a specialist.
Hi
You have lbbb which is left bundle branch block. This is nothing to worry about in most cases. It just means that the electrical signal to the left ventricle is broken and so it must travel across the surface of the cells instead. If there is not too much variance in timings between the left and right ventricle, then no action is needed. You have Afib and Aflutter which means that the Atria (small chambers at the top of the heart) are not beating normally. Medication can usually resolve this problem. Severe brady just means your heart rate is very slow. A pacemaker could be a good solution to this. If you have one, then this will need to be adjusted or upgraded. You also have 'unstable' angina which means that you feel symptoms unassociated with CAD. Now the severe aortic stenosis. I assume this is referring to your aortic valve. This means that the valve is heavily calcified and is narrow, restricting the amount of blood leaving your heart. This is serious and a valve replacement is required. A valve in such a condition can cause many heart problems, such as making it over work but yours doesn't seem to be doing this? with a heart rate <40 it can hardly be said that your heart is over working. Looking at your report, it would seem that a new valve and a pacemaker would make you like new again.
You have lbbb which is left bundle branch block. This is nothing to worry about in most cases. It just means that the electrical signal to the left ventricle is broken and so it must travel across the surface of the cells instead. If there is not too much variance in timings between the left and right ventricle, then no action is needed. You have Afib and Aflutter which means that the Atria (small chambers at the top of the heart) are not beating normally. Medication can usually resolve this problem. Severe brady just means your heart rate is very slow. A pacemaker could be a good solution to this. If you have one, then this will need to be adjusted or upgraded. You also have 'unstable' angina which means that you feel symptoms unassociated with CAD. Now the severe aortic stenosis. I assume this is referring to your aortic valve. This means that the valve is heavily calcified and is narrow, restricting the amount of blood leaving your heart. This is serious and a valve replacement is required. A valve in such a condition can cause many heart problems, such as making it over work but yours doesn't seem to be doing this? with a heart rate <40 it can hardly be said that your heart is over working. Looking at your report, it would seem that a new valve and a pacemaker would make you like new again.
Are you a veteran, then?
I must say that this is a mysterious post. Are you sure that the report indicated that you actually *HAD* the conditions you listed, or were those options that might or might not be checked off, depending on what the stress test showed?
For example, do you in fact have an implanted pacemaker? Are you taking beta blockers? Did they have to stop the stress test early because you became exhausted?
I must say that this is a mysterious post. Are you sure that the report indicated that you actually *HAD* the conditions you listed, or were those options that might or might not be checked off, depending on what the stress test showed?
For example, do you in fact have an implanted pacemaker? Are you taking beta blockers? Did they have to stop the stress test early because you became exhausted?
The VA doctor ordered it because I've been having chest discomfort/pain and shortness of breath. This has been going on about 1 1/2 months now. I don't have a cardiologist.
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