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FINAL INTERPRETATION Abnormal Study With Moderately Reduced Global Left Ventricular
Question: FINAL INTERPRETATION
Abnormal study with moderately reduced global left ventricular function. No evidence of ischemia. There is evidence of subdiaphragmatic interfering activity artifact on scan. Overall study quality is good. Scan significance indicates moderate cardiac risk.
PERFUSION FINDINGS
There is a small sized area of mildly decreased perfusion in the apical inferior and apical walls at stress and rest consistent with artifact. There is no evidence of visual transient dilation with a normal stress/rest left ventricular volume ratio of 0.99. The sum stress score is 1 (normal: less than 4, mildly abnormal: 4-8, severely abnormal: greater than 8).
The right ventricle is normal.
FUNCTION FINDINGS
The calculated left ventricular ejection fraction at rest is mildly reduced at 45% with an end diastolic volume of 133 mL and end systolic volume of 73 mL.
The post-stress ejection fraction is moderately reduced at 30% with an end diastolic volume of 129 mL and end systolic volume of 90 mL. Left ventricular regional wall motion is abnormal with inferior and apical moderate hypokinesis.
Abnormal study with moderately reduced global left ventricular function. No evidence of ischemia. There is evidence of subdiaphragmatic interfering activity artifact on scan. Overall study quality is good. Scan significance indicates moderate cardiac risk.
PERFUSION FINDINGS
There is a small sized area of mildly decreased perfusion in the apical inferior and apical walls at stress and rest consistent with artifact. There is no evidence of visual transient dilation with a normal stress/rest left ventricular volume ratio of 0.99. The sum stress score is 1 (normal: less than 4, mildly abnormal: 4-8, severely abnormal: greater than 8).
The right ventricle is normal.
FUNCTION FINDINGS
The calculated left ventricular ejection fraction at rest is mildly reduced at 45% with an end diastolic volume of 133 mL and end systolic volume of 73 mL.
The post-stress ejection fraction is moderately reduced at 30% with an end diastolic volume of 129 mL and end systolic volume of 90 mL. Left ventricular regional wall motion is abnormal with inferior and apical moderate hypokinesis.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I reviewed carefully your test reports, I would explain that there is no clear evidence of cardiac ischaemia.
This test finding needs to be clinically correlated with any relevant symptomatology ( chest pain shortness of breath during physical exercise or at rest).
But from the other side, there is evidence of moderately reduced cardiac function ( left side), with further reduction during stress.
So, there is a clear evidence of a cardiomyopathy presence, which needs to be further explored.
Coming to this point, I would recommend performing a cardiac MRI imaging test, would properly differentiate the exact type of the cardiomyopathy.
You should discuss with your Doctor on the above test.
Hope you will find this information!
Kind regards,
Dr.Ilir Sharka, Cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I reviewed carefully your test reports, I would explain that there is no clear evidence of cardiac ischaemia.
This test finding needs to be clinically correlated with any relevant symptomatology ( chest pain shortness of breath during physical exercise or at rest).
But from the other side, there is evidence of moderately reduced cardiac function ( left side), with further reduction during stress.
So, there is a clear evidence of a cardiomyopathy presence, which needs to be further explored.
Coming to this point, I would recommend performing a cardiac MRI imaging test, would properly differentiate the exact type of the cardiomyopathy.
You should discuss with your Doctor on the above test.
Hope you will find this information!
Kind regards,
Dr.Ilir Sharka, Cardiologist
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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