What do these series of test reports for the heart indicate?

default
Posted on Tue, 16 Jun 2015 in Hypertension and Heart Disease
Question: I had a series of test for the heart. 1 EKG shows abnormal
2. ECHO came back that there was no damage to the heart muscles
Dr. said the front of the heart looks good.
3. Nuclear stress test show abnormal.


doctor
Answered by Dr. Prof. Kunal Saha 2 hours later
Brief Answer:
I do not think that you have anything to worry about.

Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through the details as well as the attached image. The EKG shows a first degree conduction block. It is a minor electrical conduction problem of the heart but unless there are other complications, it is not a cause for concern.
Rather than the nuclear stress test, I would ask about the ejection fraction (EF) from the echocardiogram. If the EF is 85% or more, and if you are not getting chest pains, you do not need any further interventions at the moment, not even the CTA. In case you are getting chest pains, going for a CT Angiogram (CTA) would be a good idea.
Hope that helps.
Regards
Dr.Kunal Saha
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Prof. Kunal Saha 1 hour later
I just asked what my ejection fraction from the echocardiogram was and they told me 55%. Is this good or bad.
doctor
Answered by Dr. Prof. Kunal Saha 30 minutes later
Brief Answer:
You may proceed with the CTA

Detailed Answer:
The ejection fraction is on the lower side. In that case, getting a CTA done should be a good idea.

Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Prof. Kunal Saha 30 minutes later
I been reading up on ejection fraction on echocardiogram. Everything I read so far shows that between 50% and 70% is normal. Is this true I'm very worried.

I will get the CTA ..Can you tell me how this is treated ..
doctor
Answered by Dr. Prof. Kunal Saha 7 minutes later
Brief Answer:
No need to be apprehensive

Detailed Answer:
You have read it correctly. That is the reason I mentioned it to be on the lower side of normal. A CTA will help in detecting blockages in the coronary blood supply. The location of such a blockage is important. Blockages on the left side are more severe and need to be treated with priority. The number of blockages also plays a role. One or two blockages can be managed with an angioplasty whereas 3 and more blockages call for a coronary bypass surgery.

However, you need not get that concerned at the moment. The chances of getting a severe blockage might not be very high in your case unless you have severe symptoms. Stay relaxed.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4401 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Procedures ,   ,  
Lab Tests ,  

Recent questions on  Angioplasty

doctor1 MD

hi, i am 50 years old and working as a manager in psu. my marraiage have been completed 28 years. i am facing a problem recent months that i wish...

doctor1 MD

My dad is a heart patient and has survived a major heart attack in June 2010. We had angioplasty done at that time. He has lost a lot of weight....

doctor1 MD

I had an angioplasty with a stent put in my right transverse swoke up last night with a bad head achieve there is a lump in the right side on the...

doctor1 MD

My 58 year old sister was just diagnosed with CHF only 25% of her heart is working the left side is barely moving is the best I can explain. They...

doctor1 MD

My father got a heart attack on 16th nov we though it was acidity and latee when the pain agreevated we came to the hospital by the time we wasted...

doctor1 MD

CAN I take Vedafil after 2 stents im on Brilinta for 1 year

doctor1 MD

My father got a heart attack on 16th nov we though it was acidity and latee when the pain agreevated we came to the hospital by the time we wasted...

Get personalised answers from verified doctor in minutes across 80+ specialties

197 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2