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What Does The Stress Perfusion Test Result Indicate?

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Posted on Fri, 20 Mar 2015
Question: Cardiac Pharmacologic Stress/Rest Perfusion SPECT With Gated Wall Motion?LVEF Analysis
Dear Doctor, I am 75,
at the age of 17 I started my work as a coal miner, after that I was in navy, and after education I became an international attorney working overseas. A test was performed 3 days ago. For how long I am able to survive? Can I travel for business for about 12 - 16 hours?
Impression:
1.Reversibility of the inferior wall is worrisome for a modest region of ischemia encompassing 5 - 10% of the LV volume,
2.Gated images suggest mild hypokinesis of the inferior wall.
3. Calculated LVEF 54%.
doctor
Answered by Dr. Dr. BR Hudda (4 hours later)
Brief Answer:
postpone your business trip for a while

Detailed Answer:
hello sir Greetings
i had gone through your question ans i really appreciate your concern

at the outset, i would like to tell you about the stress perfusion test
in this test a radioactive substance is injected in blood, which is taken up (absorbed) by the healthy heart.
Basis on this principle stress perfusion scan is used to assess the blood flow to the heart muscle at rest as well as when it is stressed by exercise or medication to determine areas of the heart with decreased blood flow.

in your case, inferior wall or base of the heart has affected due to an mild old heart attack or decreased blood flow to that portion of heart

Ejection fraction is tells about the pumping power of the heart it ha salso reduced to an extent but not to be so worrisome

i see such patients in my clinic and i would advise in such a case for an angiography a more sensitive and specific test for blockage which your cardiologist knows.

in my opinion you should postpone your business trip fora while and you should take rest at home
you must avoid stress and anxiety, remain cheerful
avoid smoking and alcohol

I Hope you will find my response helpful and informative please feel free to our ask for follow up questions

wishing you good health
Regards


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Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
Dr.
Dr. Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 3004 Questions

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What Does The Stress Perfusion Test Result Indicate?

Brief Answer: postpone your business trip for a while Detailed Answer: hello sir Greetings i had gone through your question ans i really appreciate your concern at the outset, i would like to tell you about the stress perfusion test in this test a radioactive substance is injected in blood, which is taken up (absorbed) by the healthy heart. Basis on this principle stress perfusion scan is used to assess the blood flow to the heart muscle at rest as well as when it is stressed by exercise or medication to determine areas of the heart with decreased blood flow. in your case, inferior wall or base of the heart has affected due to an mild old heart attack or decreased blood flow to that portion of heart Ejection fraction is tells about the pumping power of the heart it ha salso reduced to an extent but not to be so worrisome i see such patients in my clinic and i would advise in such a case for an angiography a more sensitive and specific test for blockage which your cardiologist knows. in my opinion you should postpone your business trip fora while and you should take rest at home you must avoid stress and anxiety, remain cheerful avoid smoking and alcohol I Hope you will find my response helpful and informative please feel free to our ask for follow up questions wishing you good health Regards