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Cardiovascular stress test. Abnormal stress myocardial perfusion suggestive of ischemia. Meaning?

I recently had a cardiovascular stress test---the report came back on spect imaging as follows--There is a severe defect along the entire length of the inferior wall with extension of a moderate in severity defect at the base of the inferolateral wall. this defect returns to mild on stress imaging. GATED IMAGES: the gated images demonstrate normal thickening and contractility of all mycardial segements. Calculated LV systolic function is greater than 60%. IMPRESSION: abnormal stress myocardial perfusion study suggestive of ischemia along the inferior wall with extension into the base of the inferolateral wall. Normal left ventricular systolic function.
Asked On : Sun, 10 Feb 2013
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Nephrologist 's  Response
Thank you for using healthcare magic.

you did not pose a question but I would presume that you want to know what to interpret and what the next step is management of the stress test you reported.

Your stress test is suggestive (not diagnostic but suggestive) of blockage within the arteries supplying the wall of your heart.

The next step in management would be evaluation by a cardiologist and consideration for coronary angiography (cardiac catheterization) to delineate if and where the blockage may be. The procedure would also allow your doctor to determine how it should be treated (medications alone vs medications with stent placement vs referral to cardiac surgery)

Take care and be well
Answered: Sun, 10 Feb 2013
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
Every investigation should always be correlated clinically,it is important to know your age,and clinical history of angina.
One should also looks into the risk profile like Hypertension,Diabetes ,Lipids and Smoking etc.
This indicate reduction of blood supply to heart in area of one of the coronary artery.
We would like to get a Coronary angiography to know exact status of arteries and depending on result you may be required to revascularization procedure like angioplasty or by pass surgery.
This is good that you have good left ventricular function.
In the mean time continue treatment advised by your physician.
Take care
Best of Luck
Answered: Sun, 10 Feb 2013
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