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What Does This Echocardiogram Report Indicate?

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Posted on Mon, 6 Jun 2016
Question: Hi I am 38 yrs old female. On 25th Mar midnight I had severe pain in my chest for which I had to take disprin dissolved in water. My ECG had mild variations. Yesterday I have got my ECHO done which shows mild hypokinesia of septum basal inferior wall. Please let me know what is the problem. I am diabetic since last 10 yrs.
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Need further assessment for heart

Detailed Answer:
Hi friend
Welcome to Health Care Magic

This is highly suggestive of Coronary Artery Disease (CAD).

You need Treadmill Exercise Electrocardiogram (TMT), preferably with Thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.

If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]

Continue aspirin
Follow up with your cardiologist

Good luck
God bless you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (35 minutes later)
I have been advised angiography for this. If I attach pictures of echo and report will you be able to let me know whether an angioplasty will also be needed.
doctor
Answered by Dr. Anantharamakrishnan (5 hours later)
Brief Answer:
need angio

Detailed Answer:
Hi

No further significant suggestion is likely based on those reports….
Go ahead and have angio – ideal / earlier, the better
Only the result of angio - nothing else - can dictate the need for angioplasty

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Does This Echocardiogram Report Indicate?

Brief Answer: Need further assessment for heart Detailed Answer: Hi friend Welcome to Health Care Magic This is highly suggestive of Coronary Artery Disease (CAD). You need Treadmill Exercise Electrocardiogram (TMT), preferably with Thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.] Continue aspirin Follow up with your cardiologist Good luck God bless you