need info!!

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HI ALL...so glad I have this site to ask for help!
Had adenosine Stress Test and the findings were as follows:
perfusion images:
Post pharmacologic stress images reveal a small to moderate perfusion defect of the anteroseptal wall. On the resting images there is partially improved profusion of this wall.
Conclusions:
The myoview scan shows a fixed defect of the anteroseptal wall. There is also small reversible defect of the anteroseptal wall. This lateral defect could be due to myocardium at risk.
Both anteroseptal defects could also be secondary to the patient’s paced rhythm.
My Dr says it could be a false positive due to pacing... But has no explanation for symptoms. I am having, SOB on exertion, chest tightness. He says the only way to be sure is to have a cath. and he can refer me to another DR if I want a second opinion (he’s myarrhythmia specialist guy,) but he seems to want to write it all off with the assumption its a false positive.. with no explanation of symptoms,,,,
I'm 49 yrs old first pm 2005, medtronic biventricular PM for LBBB, cardiomyopathy, CHF
rplaced pm 1/2009. 9 wks of infection, and pacer has moved, kind of floats now. Current symptoms,walking the mall etc....
have been on line looking for info but not sure what it all means! how often do false positives happen?, how does one decide if a cath is needed?.... what is myocardium at risk?... lots of questions... looking for info and answers please....


1 Comments

Test Results

by Bill-2 - 2009-05-16 11:05:44

I've had several of these tests and what your test results are saying is you may have coronary artery disease and that you should have a cath to see if you do have artery blockage. The results from my first of these tests and subsequent cath showed I needed a quadruple bypass surgery. The anteroseptal wall and other named areas of the heart are where the test results show there may be low blood flow or possibly damage to your heart.

This blockage is not related to the blockage that got you a pacemaker. That blockage refers to electrical current generated by your heart to make it beat and is being treated by your pacemaker. This possible blockage shown in your tests results refers to blockage preventing adequate blood flow through out your heart.

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