had an army national guard pysical and had an abnormal ekg,went to my doctor with the ekg results and he ordered test,i just received results and they have not beem translated to me as of yet,what do you make of this,any thing to be concerned about,frank talk is fine.......but try to be gentle :-) thanks i scanned this into my ocr and had to retype some of it

RADIOLOGY DEPARTMENT http://www.healthboards.com/ubb/bouncing.gif
i

PATIENT: MR#:


Physician: DOB:

,
, RNCS, FNP

10/22/52

Date performed: 01/13/03

REASON FOR TEST: Asnormai electrocardiogram.

GATED DUAL ISOTOPE STUDY
This 50-year-oid male former smoker exercised achieving greater than 100% of age-predicted maximum heart rate. He received 4 mCi o- 201Ti for rest images and received 30 mCi of 99mTc sestamibi for stress images.

Rest perfusion images demonstrate a small-extent, mild-severity, perfusion defect within the basal and mid inferior segments. With stress this defect is less prominent. Left ventricular diiatation with stress is not seen.

Gated data demonstrates a mildly enlarged left ventricle with a calculated end-systolic volume of 82 ml (normal 40-70 m!) . Significant segmental wall motion abnormalities are not identified. Global systolic function appears to be at the lower limits of normal left ventricular ejection fraction is calculated at 50%.

IMPRESSION:
i. No evidence of segmental

2. 3. 4.

CB:dd
D: 01/i3/03
T: 01/14/03

ischemia by dual scintigraphic imaging . Left ventricular dilatation with stress is not seen.
mild left ventricular dilatation without significant segmental wall motion abnorma!ities.
Low normal to mildly diminished left ventricular ejectionfraction calculated at 50%.
No previous study for comparison.

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have a nice day

GATED DUAL ISOTOPE STUDY
This 50-year-oid male former smoker exercised achieving greater than 100% of age-predicted maximum heart rate. He received 4 mCi o- 201Ti for rest images and received 30 mCi of 99mTc sestamibi for stress images.


Let me qualify this by saying I am not a physician. However, since you have no other responses, here is what I think I am reading http://www.healthboards.com/ubb/smile.gif You have had a stress test. For this stress test, you had thallium administered prior to exercise, and an image of your heart at rest constructed. Then, you were subjected to a exercise on a treadmill, while technicium was injected. You then had another image of your heart taken. This second image will show areas of the left side of your heart (I believe). They usually only image that side, the one which pumps out to your body rather than to your lungs. Anyway, I digress. Apparently the notation was that during exericse your heart rate exceeded the heart rate maximum calculated for your age. Any chance you do not exercise often, or have hypertension? The reason I ask about hypertension is that the report mentions something about a slightly enlarged ventricle as noted below.


Gated data demonstrates a mildly enlarged left ventricle with a calculated end-systolic volume of 82 ml (normal 40-70 m!) . Significant segmental wall motion abnormalities are not identified. Global systolic function appears to be at the lower limits of normal left ventricular ejection fraction is calculated at 50%.


Again here, its stating that your ejection fraction is at the low end of normal, yet still within normal range. For comparison, mine was 67% the last time it was checked. I know the normal range extends up to 70%. Lower ejection fractions are indicative of heart damage due to, for example, a previous MI.
ischemia by dual scintigraphic imaging . Left ventricular dilatation with stress is not seen.
mild left ventricular dilatation without significant segmental wall motion abnorma!ities.
Low normal to mildly diminished left ventricular ejectionfraction calculated at 50%.


Here again, I should be careful, because I am definitely NOT a physician. What I read in line 1 is that ischemia was observed in the image. Ischemia means that heart muscle lacking oxygen. Therefore, it could mean you have some occlusion of your coronary arteries? The last line also states now that the ejection fraction is either at the low end of normal, or slighly diminished, which could result from an MI. Have you had any further followup on this?