Quote:
Originally posted by Oriole Adams:
l. Fair exercise tolerance
2. Suspicious for anteroseptal ischemia
3. No chest pain or arrhythmia during stress test
More Impressions:
1. Mild inferior wall ischemia
2. Mild proximal wall ischemia
3. Preserved LV systolic function
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I am not a physician. However, from my limited knowledge of this: Item 1 states that your falls somewhere in the mid-range of exercise tolerance, 2. That there is evidence of heart muscle lacking oxygen (ischemia) in the front portion of the heart, slightly offcenter towards the middle. This area has blood supplied from the left anterior descending coronary artery. From the second set of three, the inferior region is the backside tissue that is showing some lack of oxygen, this is most likely supplied by the right coronary artery, but could also be from the circumflex. The proximal lateral region describes an area along the horizonal long axis--I think this relates back to the anteroseptal region, or the LAD supplied region at least, based onthe distance away from apex. The top part #3 is good (in a way) that no angina was reported from your mother based upon the ischemia that is being observed. The reason I state it like that is that not everyone feels the pain (angina) associated with ischemia. The no arrthymias is,however, a good thing--her heart had normal sinus rhythms throughout. The other #3 of perserved LV systolic function is a good thing. It means her ejection fraction is considered normal (above 45-50%).
For the defined regions of the heart, here is a reference:
[url="http://www.asecho.org/freepdf/Segmentation-Final1.pdf"]http://www.asecho.org/freepdf/Segmentation-Final1.pdf[/url]
In plain English? 
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