Just got home from the hospital due to pain that I had in my left arm and chest, The blood test results and the results of the nuclear stress test all came out negative, but the doctor told me that I have some signs of damage to the bottom portion on the left side of my heart, He mentioned some word, but for the life of me I cannot remember it.
I do remember it began with an "A,. The damage isnt wide-spread but he wasnt sure if it was the way the picture came out or if there was some actual damage.
I was told to follow-up with my cardiologist, but would still like to be able to research this before i go.
......"the doctor told me that I have some signs of damage to the bottom portion on the left side of my heart, He mentioned some word, but for the life of me I cannot remember it.
"I do remember it began with an A."
Apex/Apical **See info below
The two main concerns regarding a nuclear stress test involves an actual (not a false image or artifact) narrowing or scarring, that is, the findings of reversible (ischemia) or non-reversible (fixed, permanent, scar tissue) perfusion (blood flow) defects.
After stress myocardial perfusion imaging (stress MPI), the patient's cardiologist may take some time to study the results of the scan before discussing the findings.
One can typically expect one of the following four results -
No perfusion defect after exercise or at rest
The heart muscle and blood flow to the heart muscle appear to be normal.
Perfusion defect after exercise, BUT NOT at rest (REVERSIBLE defect)
There is some degree of blockage in a coronary artery that interferes with the blood flow to the heart muscle. In someone with significant heart disease, when the heart works hard, it does not get the blood supply and oxygen that it needs (a supply 'n demand mismatch).
At rest, however, the blood adequately reaches these areas or regions, e.g., ANTERIOR/ANTERO (front wall), POSTERIOR/POSTERO (back wall), INFERIOR/INFERO (lower area/lower wall area), SEPTAL/SEPTUM (dividing wall) **APICAL/APEX (bottom tip of the heart) and LATERAL (side wall).
The heart muscle has living cells/tissue in these areas. This indicates that clearing the blockage in the affected artery will be of benefit.
Perfusion defect AFTER exercise AND at rest (fixed defect)
There is one or more totally blocked coronary arteries and one has had damage done to the heart muscle because of a heart attack.
There is an area/areas of the heart muscle that has become scar tissue (scarring, scarred) because of the heart attack.
This area would not be able to make functional use of any oxygen even if blood flow to that area of the heart were completely restored.
Combined reversible and fixed defects
It is common for individuals with coronary artery disease to have different degrees of blockages in different arteries.
A heart attack has left a fixed defect in one area of the heart, but there is a reversible defect in another area of the heart due to a less severe blockage.
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