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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to interpret the following nuclear stress test result?

Nuclear Sress test result; Clinical impression: 1. There appears to be inferior wall ischemia. No infarction. 2. LV size normal. Left ventricular ejection fraction is 59%. Wall motion-because there is reduction of count activity noted along the inferior lateral myocardium, though global LV systolic is preserved in the region inferolaterally where there is reduction of radioisotopic activity, thickening appears reduced but this may be because of the mere absence of adequate counts. 3. in view of the improvement on the stress images in the prone position, even though the liver remains quite hot, I believe this concurs with the supine stress images consistent with ischemia. --- Could you give your opinion. How serious? Marjo
Mon, 16 Feb 2015
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Radiologist, Nuclear Medicine 's  Response
This is just translation of the comments made in the report.
The report suggests there is reduced blood flow (which is reversible I.e ishemia) to the inferior part of heart (or the one facing below) and probably shows reduced function in that region.
The severity and extent of the reduction in blood flow is not mentioned.
However, the heart's overall function seems good I.e. 59℅.

There are many other points required for interpretation which are missing:
Was it an optimal stress?
Was it a good quality image?
And location and extent of the ischemia if present.
And lastly images.


Reversible Ischemia is reduced blood flow to heart during exertion but returns to normal while resting. So, you need to consult your cardiologist and the physician who has reported with regard to further management.
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How to interpret the following nuclear stress test result?

This is just translation of the comments made in the report. The report suggests there is reduced blood flow (which is reversible I.e ishemia) to the inferior part of heart (or the one facing below) and probably shows reduced function in that region. The severity and extent of the reduction in blood flow is not mentioned. However, the heart s overall function seems good I.e. 59℅. There are many other points required for interpretation which are missing: Was it an optimal stress? Was it a good quality image? And location and extent of the ischemia if present. And lastly images. Reversible Ischemia is reduced blood flow to heart during exertion but returns to normal while resting. So, you need to consult your cardiologist and the physician who has reported with regard to further management.