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Doctors Lounge - Cardiology Answers
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| sunfun
- Sun Feb 26, 2006 9:58 pm |
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I am a female diebetic, 67, I had a slight abnormal EKG test when I went to Dr. earlier this year.Dr wanted to retest so I had Adenosine administered instead of regular stress test. I am confused with a brief report.
It states the electrocardiographic findings:
1. Baseline ECG revealed normal sinus rhythm with no acute ST-T wave changes. During adenosine infusion I had less than 1 mm of horizontal ST segment depression. (Does that mean that I had a problem here?) No malignant atrial or ventricular arrhythmaia noted. (Was this a problem)
2. Spect Imaging:
1. No elctrocardiographic evidence for ischemia noted.
2. SPECT imaging reveals mild to moderate reversible perfusion defect in the anterior wall. This is consistent with ischemia.
Ischemia refers to blood flow so do I have a serious problem., as one statement says none noted and the other says consistent with ischemia . Please answer as I do not see the Dr. until 2 weeks fron now.
Thank you,
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| Theresa Jones, RN
- Mon May 01, 2006 7:36 am |
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 Hi sunfun,
1. "Baseline ECG revealed normal sinus rhythm with no acute ST-T wave changes." (indicates normal on this test but this is a basic technology that reveals abnormal rhythms etc.) Your physician must have been concerned based on your symptoms etc. and would be the reason he/she would have ordered a more specific or detailed test. "No malignant atrial or ventricular arrhythmia noted." (would be a desired result) ST segment depression may be related to numerous things such as ischemia, electrolyte imbalances, ie, potassium levels, certain medications, ie, digoxin, tachycardia (rapid heart rate) certain heart blocks (malfunctioning areas of the electrical system of the heart) etc. Some of the treatments for cardiac ischemia are aimed at lifestyle changes, ie, stopping smoking if you smoke, healthy diet, controlling blood pressure, medications, exercise (after approval of your physician) and in more severe cases, surgical intervention. I hope you have had a follow up with your physician.
Sincerely,
Theresa Jones, RN
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