Heart Disease :: Stress Test - Ejection Fraction Of 72% - No Ischemic Changes
Mar 4, 2016
Hi, new to MedHelp. I just got my results on a patient portal from a stress test that I just had done a few days ago. I don't see my doctor for 2 weeks, but my anxiety just makes me want to know what is going on. Does anyone know how to interpret these results? Thank you for any input you can give.
Findings:
Patient was pharmacologically stressed with adenosine at a
dose of 48 milligrams. No chest pain occurred during stress. A maximal
heart rate of 108 beats per minute was achieved.
Injections of 10 mCi and 30 mCi of technetium 99m Sestamibi were given
for rest and stress imaging, respectively.
SPECT images after each injection show normal size left ventricle. No
fixed or reversible perfusion abnormalities were present. Ejection
fraction was calculated at 72%. No wall motion abnormality.
IMPRESSION: No ischemic changes with pharmacologic stress. Ejection
fraction of 72%. No wall motion abnormality.
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Heart: NM Myocardial Perfusion Rest Stress Test results?
Findings: Mild Wall hypokinesis perfusion defects are identified in lateral wall, inferior wall and septal wall the calculated left ventricular ejection fraction of 51%
What does this mean normal not to worry or exactly what?
Have irregular heart beat and palpitations for 15 years that I know of..
They think I had a svt attack about 3 weeks ago prompting this test. My heart rate shot over 20 bmp and i could not breath and stayed above 160 for over an hour.
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Diagnosed with dilated cardiomyopathy, had an echocardiogram and my ejection fraction was 25, had a nuclear stress test and it was 38, which is a more reliable test? Dr said sometimes you see a difference in numbers but rarely this much of a difference.
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I was diagnosed with an mild fixed perfusion at the cardiac apex wall near the apex and a infarct involving the apex and anterior wall near apex and my left ventricular ejection fraction is calculated to be 56%. My question is what does this mean in laymen terms and what medication, treatments or diet may help this condition?
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I'm a 43yr old male with no history of heart disease, though I do have low HDL cholesterol and mild hypertension (130's/90's) and am on half a Benicar 20mg pill daily. I lost 100lbs 5 years ago and have kept it off with regular exercise (I run 5-7 days per week) and heavy weight lifting (2-3 days/week), plus a much better diet than I ever had while in my obese days. I'm still overweight at 210lbs, 6'2", but in a much better place, I think, and continue to drop a pound every month or so!
Recently, due to a chronic issue with abdominal discomfort that sometimes migrates into my chest, I had a treadmill stress test and echo at the local county hospital and would like to know if I should ask more questions about the results of the stress test (echo still pending).
An echo was performed before the treadmill portion and then ASAP after I hopped off the treadmill (within 10-15 seconds at most). I had zero trouble with the treadmill test, reaching my heart rate goals after about 18 minutes of continuous increases in speed and incline. No discomfort, dizziness, etc. and blood pressure didn't do anything weird, nor did there appear to be any arrhythmia.
The result published by the attending doctor (my regular GP) are as follows:
"... initial EKG was a sinus rhythm ... maximal ST depression was -2.2. However, he was asymptomatic and the depression was in one lead only. This is an electrically and symptomatic negative exercise stress test ..."
I've read that this amount of ST depression is significant, but is it true that a single-lead depression is a negative result? Should I at least inquire about which lead was negative? The tech did have some trouble getting one of my leads to read at first, but seemed to get that worked out before I hopped on the treadmill - I should've asked which lead that was; located on left side rib cage under arm.
I have digestive issues that often present with chest discomfort, fullness, jaw or esophagus tightness, etc. and that leads to anxiety, as you might imagine. Perhaps I'm being overly anxious about this, too...just want anyone with experience or knowledge of these tests to weigh in on whether I should probably just let it go or follow up once the echo comes back in a few more days.
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My doctor's office called and told me I need to see a cardiologist. My doctor not sure what it showed , maybe normal but wants cardiologist to tell us .. Result was " may have problem with circulations with increase workload " not sure what this means,, have appt sept 10.. I had no chest pains with the test, I was just out of shape and winded.. But completed whole treadmill test..
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Hubby is supposed to have nuclear stress test, however he has peripheral artery disease and both legs are full of stents, and he cannot walk very far without pretty much pain, was just wondering what is the point of this test if he cannot walk and may not be able to complete it? To make matters worse, we have to pay for the entire test out of pocket as we have a high deductible, I have been reading that the test is expensive. My husband has his cdl, which he does not even use, and they will not renew it without the stress test.
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In the past, I have had chest pain walking up hills. So I told my doctor who said "you need a Nuclear Stress Test. We discussed it, it seemed fine to me and I had one scheduled.
The procedure seemed relaxing enough, I was told to relax in the Gamma Cam while the radiopharmaceutical they injected me with had a chance to circulate. Then the Gamma Cam did its thing for about 15 minutes and I was on my way home. Easy? No problems.
But then I had some curiosity about radiation, so I got out my Geiger Counter. I held the probe near various parts of my body and was able to absolutely peg the meter on the highest setting - 50 mr/hr. I called the Nuclear Stress Test technician and cancelled part two of the study, the treadmill test. I then called my doctor, told him about the gamma-ray radiation levels and he convinced me to go ahead with part two of the test.
The next day, the Nuclear Stress Test. technician tried to calm my nerves by saying "Do you see me running away from you after giving you the radio pharmaceutical ?" and "I run when its Cat-scan time..."
Anyway I completed the day two test, went home and again was radiating well over 50 mr/hr. in Gamma radiation.Knowing the radio-pharmaceutical''s half life was 6 hours, I kept a journal and my radiation hit background level in about 48 hours.
But someone has to convince me that injecting me with a radiopharmaceutical which emits positrons which go and cancel themselves with the closest electron in an anti-matter reaction which emanates two gamma rays 180 degrees apart from each other is entirely safe...
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This problem is a heart electrical issue more than a rhythm one, but I'm guessing some of you might know more about this issue, too, and these changes weren't mentioned in the initial report.
I had a 24-hour holter, and the report said normal, but when I requested the actual data, I found the ischemic narrative shows significant ST changes, both elevations and depressions, and for longer durations than 1 minute. The ST elevations occurred while I was exercising.
From my understanding, ST depressions or elevations of 1 to 2 mm that last for at least 1 minute can be clinically significant and warrants further patient assessment. Is this not the case? Should I be concerned that no follow up is being done, and that this information wasn't even included in the report?
For background, this cardiologist was a new patient appointment. He did not listen, spent less than 5 minutes with me, the blood pressures and heart rates taken during my appointment are not in my chart, and the two that are in there don't list the correct heart rates, as the heart rates are the same both lying down and sitting -- I have Postural Orthostatic Tachycardia Syndrome (Dysautonomia), hence the high avg HR, and it's impossible my heart rates were the same, my blood pressures rise with sitting and standing (I have orthostatic hypertension, hyperadrenergic POTS), but who knows what the heart rates were. Over half of the notes from my appointment were completely incorrect, my family medical history is missing, and he actually invented past medical history that I've never had and now refuses to change the notes, despite the fact that he essentially diagnosed me with a past disorder that I've never had.
Clearly, I need a new cardiologist, but in finding a new one, in my experience, if this information about the ST segment changes is not in the actual report, no one will see it, & therefore it doesn't exist. Too many things have been missed due to errors like this for me throughout my entire life.
I have Ehlers-Danlos Syndrome, which I had to find myself, after finding POTS, as all my doctors missed both. I'm still waiting to be seen by a geneticist, but I've been diagnosed with "generalized hypermobility of joints" by a Rheumatologist and "whole body pain" and "chronic migraine" by my neurologist. My symptoms overlap with multiple types of EDS, including hypermobile, classic, and vascular. I have both velvety and translucent skin with visible veins. 9/9 Beighton, though my elbows and knees subtly hyperextend, I didn't even know they did.
Age 29, F, 5'3", 120 lb, white, have had chest pain since age 7, Scoliosis, Acrocyanosis, Raynaud's, Livedo Reticularis, Hypersomnia, & many more. Likely have some form of neuropathy, my feet that sometimes fall asleep after I stand and the tingling I feel pretty much constantly all over thinks so, despite the fact that no doctor has yet to pay attention to these symptoms. Grew up in southern US, do take Adderall & Vyvanse for ADD (which likely came from POTS itself), and Chronic Fatigue Syndrome.
Just hoping to get a better understanding of these results, especially since they weren't mentioned at all in the report I received.
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I have a heart rate most of the time from 42 to 50 BPM , my blood pressure is usually 145 to 160 over 75 to 80. My cardiologist has me taking 75 mg, of Lopressor, 360 mg, of verapamil, .4 mg nitroglycerin patch. And now he wants to add 10 mg of Ramipril ( Altace ) a day, my recent cardiograms have have shown sinus bradycardia. That's before starting the Ramipril , I'm just very leary about starting the Ramipril in first of all the highest dose there is, and second of all it could further lower my heart rate and send my heart into an AV Block that could lead to many things not good !
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I'm going to be completely honest and as thorough as possible, I'm an addict, and I've had an addiction to stimulants for the last year and a half (consisting of about 95% amphetamine usage, never used methamphetamine). I usually keep my doses anywhere around 10-60mg cause I never wanted to over do it. Unfortunately, last week I dove in deep to my addiction due to a recent break up, about 4 days ago I did around 130 mg spread out through the day, I felt fine until I took my very last dose (30 mg about), at that point it only increased negative side effects.
After a while of feeling odd and stuff, I began to have trouble breathing and chest pains (I can't remember which started first), it kind of felt like they coincided, but I still would get very minor and infrequent pain without breathing, it felt like I couldn't take a full breath of air, and when I did the chest pain would kick in (more), it felt like a tightening pain. My left arm soon became somewhat numb and tingly, not numb like when you accidentally sleep on it, but just a little numbing that felt like it stretched down my arm through a single vein, the numbness was generally more intense under my armpit and bicep area, and would intensify when I rubbed certain areas. I had a very sore/stiff neck, especially around the area between my shoulder blades and neck, it wasn't on one side, it was mostly in the middle (my neck and back are still sore after this experience, as well as the tingling sensation in my arm but its not at all that bad, and it comes and goes). I had anxiety during this event, and I felt like when people would talk to me I wasn't truly comprehending what they would say, but yet I still was able to reply to them, I just didn't say much or think about what I was saying, I only could pay attention to what was happening to me. I felt like things were kind of slowed down and I was very fatigued and zoned out. I felt as if I was slowly meeting my demise. I believe I got cold sweats a couple times, but not much. I had some heart burn later that night, and the next but its gone.
It came across to me that maybe this was a panic attack but the pain lasted 2-3 hours, after that it wasn't horrible, but it was still somewhat there, and the mental aspect of a panic attack wasn't that intense. I also do think that my left arm may just have "mouse arm" (cant remember medical term), cause I use a computer a lot, a part of my muscle/tendon in my hand has been sore for a while, and it is somewhat acting up now as I type. I really am not sure if a lot of this is me overreacting, or just a placebo effect (I hope so). I've had minor chest pains since I was 13 (I just turned 18), and every time I went in to get my heart checked out, they said I was fine, and that I had a slight irregular heart beat but it was nothing to worry about and a lot of people have it but don't know.
I also have this weird problem with my thought process either that started the night of the incident, or I haven't noticed before. The only way I can explain it is as if my brain buffers for a moment when I go back and forth between two thoughts, it's like I over excite the neurons responsible for those thoughts and I end up overriding my brain for a brief second with confusion, then it's fine. I do have some chest pains now, but it isn't very often, and honestly happens mostly when I think about it or worry about it (same with the left arm), which is why I think I could be conning my self about this entire incident, because I've had panic attacks before but they weren't as bad and were more mental than physical.
It's dumb of me but I never went into the doctors cause 1. I was too paranoid to go in, and 2. I don't want to worry my mom or waste her money just so the doc's (possibly) find nothing. I haven't lately because all I've been doing is researching about this stuff, off and on I think I'm fine and then I don't. So I came here to settle it once and for all, I have a doctors appt. next week anyways so if you guys don't think its serious (I don't, but it could be denial) I'll just wait until then, if it is then I'll go now. I know everybody says "If its your heart then don't risk it", but every time I go in for my heart, it's always nothing.
My family nor myself have a history of heart disease, diabetes, or just flat out obesity. I'm very fit, just oddly muscular for my age, but I don't work out as often as I should now-a-days. I also smoke cigarettes, and my heart pains/arm numbness do come back a bit when I have a cig, but then again it could just be my head. The last time I had any form of a heart test was probably about a year or two ago, it was an EKG and I believe a blood test, but my memory is a bit foggy in that area. My heart rate is normal, I don't know about my blood pressure, but I believe I got a test for it lying somewhere around my house. My last dose of amphetamines was today, yes I know its stupid, but it's literally my last dose (I weaned myself off).
Oh and I did have sex last night, being in the moment I may have over did it (I usually get this feeling just without the numbing), my heart pounded like hell, I got heart burn during it, my left arm and leg became pretty numb, I was kind of tremor-ish, and that's it. Once I orgasmed the numbing went away (except for under my armpit area), and my heart was fine, but beating pretty fast (110bpm).
So do you think I likely had a heart attack? Or do you think it's something else? Or a combination of things? Or simply nothing but a placebo affect or panic attack? And by the way how long does numbing of the left-arm and chest pains last after having a heart attack?
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Recently my heart has been trembling a lot and i find it hard to sleep because i can feel it beating. I used to feel pain in my heart on occasion before, but i have not had that recently. When I drink coffee the tremors are more noticeable and more frequent.
On my mother's side, she has history of high blood pressure and heart disease, her father died at 50 from a heart attack and my cousin (32 female) has a pacemaker.
Other symptoms include:
Redness under my eyes
Pitted and grooved nails
Personal profile:
25 y/o male
Smoker - 10 a day
I used to use cocaine infrequently for around 2 years (a heavy session once a month)
I don't drink alot maybe once a week
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I am 54yrs of age. Today was the first time I had chest (burn) pain while walking up steps. Cannot jog or run due to MS, so I climb steps for exercise. Along with the chest pain I was wheezing. Do I have a blockage?
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I was diagnosed Hashimotos this year.
Here are my adrenal stress test results:
Sample 1 - 3.4 (12-22)
Sample 2 - 6.1 (5.0-9.0)
Sample 3 - 4.8 (3.0-7.0)
Sample 4 - 3.2 (1.0-3.0)
DHEA:Cortisol Ratio - 2.62 (within range)
Latest thyroid function test results:
TSH - 2.50 (0.2-4.2)
Free T3 - 4.6 (3.9-6.7)
Free T4 - 15.7 (12-22)
Apparently my doctor says these are normal, yet when I am taking the Levothyroxine my Free T3 drops and my hypothyroid symptoms return. Am I missing something or am I the only one in the world with this problem? I presume the latter.
I am currently dairy and gluten free and my fatigue and constipation have cleared up since on the diet, however I retook my Levothyroxine and within 2 hours I was constipated. The only change I had made was retaking the Levothyroxine but I did increase my fluid intake, too. The reaction I had from the medication is making me doubt the benefits of it. Or could I be undermedicated at 125mcg? The nurse taking my blood last time said 125mcg is a lot for a little person like me to be taking!
So, in order to wipe the slate clean and start afresh with my care, I have since changed doctors and will be asking for the following at my first appointment:
Sex hormone profile - not just the testosterone, FSH, LH and prolactin my endocrinologist carried out but I would like to include the ones she has *missed* - the oestrogen, estradiol and progesterone. I am sure there are others in there...
Full mineral/vitamin profile - but excluding the folate, Vitamin D and Vitamin B12 which were done recently and including a full iron panel.
Repeat thyroid test - why oh why am I experiencing hypothyroid symptoms AFTER I take the Levothyroxine? When I reported this to my previous doctor they have told me they will end my script for Levothyroxine since they are under the impression I get no ill effects without the medication! Are they right?
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I went for a walk with a close friend of mine yesterday, we usually take our dogs together for a walk through the park and play with them. Anyway, he told me yesterday that he has to do this Thallium stress test. He seems so cool and calm about it that I can't really understand how is he managing to stay calm, I would freak out. I mean, I know it is a cardiac test and that it has something to do with the heart, therefore it is probably dangerous. Since I don't know any details, can someone describe this procedure to me?
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Today I had a ECG stress test on a treadmill and after only two and a half minutes my BP went from 140/67 to 236/51. Has anyone heard of it being so high and with such a difference in systolic over diastolic? The diastolic actually dropped while still exercising. I am told to get an echocardiogram stress test now to determine if it is extreme hypertension rather than CAD. Has anyone else had this? Could it be chiari related. I am thinking my problems are heart related rather than chiari related now, but lucky me, it could be both I suppose.
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I am a 31 year old female who was diagnosed with POTS in 2008 at that time I had a normal stress test and has always been able to tolerate my heart rate going up however over the last month I have become short of breath and have been developing chest pain with minimal activities such as showering. I had another stress test on Friday and I was only able to walk 3 1-2 minutes and became short of breath and developed chest pain also my heart rate was 98 at the start and got up to 164 then it took 2 hours to recover that's right 2 hours not 5-8 min and they had to give me iv fluids then I was sent on my way. The report showed hyperkinetic LV and hyperdynamic LV systolic function. All the dr said was it was essentially normal.
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I've been having some concerns about me having a heart attack I'm 18 years old male, no history in heart problems, but I feel my left or right arms kind of sore in a way and sometimes feel a stabbing pain under my left breast and on the left side of my back, should I be concerned ? I was thinking this might be stress from college as this is my first semester of my freshman year ?
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I had a CT angiogram and ultrasound of my legs that showed no blockages; however, the chemical nuclear stress test came back positive for something. What does that mean?
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what are the diseases that cause enlarged heart? and what can I do to help with this problem are I am doomed to die with it without notice? mine was inherited . my older brother has it and my son has it. just here lately found this out . I new about mine , but not of there's. I was told by a doctor twenty years ago after doing a stress test that the heart was slightly enlarged and he also said I had the heartbeat of an Athlete, meaning that when I worked out my heart would raise up and when I stopped it would fall back to normal beat quickly.
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I just received the results of a Western Blot Lyme Test done by Quest Labs. And I am not at all sure at how to interpret, nor has my research given any helpful clues.
Anyway I test Non-Reactive on all bands except for the following:
Reactive on B Burgdorferi 93 KD (IGG)
My primary physician office called and said the test was Negative, but I am not so sure as I understand this band is quite specific for Lyme.
I am not at all eager to take more blood tests as I am dealing with another health condition that has involved numerous blood tests.
I am not sure how to interpret this or what is the next step.
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