Results Help me figure this out!

[Lisa45]

I got my report from the cardiologist in the mail yesterday do you know what this means: I will post it to the board also: this is from my Thallum Test not the heart Cath.

Under Exercise Stress Findings:
Resting EKG: Borderline. Normal sinus rhythm, normal axis, T-wave inveersion in V2
Protocol: Adenosine
Resting HR: 63 Max HR: 99
Resting BP: 136/80 Max BP:120/70
Chest Pain: Moderate
ST changes: Non-specific ST changes
Arrhythmias: Rare premature ventricular contractions


Myocardial Perfusion Findings:
Attenuation present: None
Left Ventricular size: Normal
Lung uptake: Normal
Translent ischemic dilatation: Absent
Myocardial perfusion images: Stress and rest images reveal physiologic uptake of nucleear tracer. Apical thinning noted. (what is that?)
Gated wall motion: Normal EF 69%

Myocardial Perfusion Impression:
Artifact. No reversible myocrdial ischemia seen

Gated Impression:
Kinetics. EF: 69%

Procedure:
While in a resting state, the patient was injecteed with approximately 4mCi of thallium-201 intravenously, Noncircular SPECT images of the heart were acquired in 180 degrees radius. The patient was theen injected with approximately 30 mCi of a technetium-99 based radiopharmaceutical (Cardiolite or Myoview) for myocacardial perfusion imaging at peak response to stress (I.e. By treamill or chemically inducred.) Upon the patients return up to two hours lter a noncircular gated SPECT study of 180 degreees radiuss was acquired. Furthermore whenere possible the ADAC vantage system is applied to data for attenuation corrected images to improve diagnostic accuracey.



That is all from the Thallum test. Then had the right and left heart cath. Still showing severe Aoratic insuffiencey with mild mitral and nonminal enlargement of left atrial.

My question is this. I had the Thallum on Monday and the heart cath on Friday and all I have done is be in bed and sleep I can?t stay awake for more than a couple of hours or so. Still have chest pains, ringing in ears too much, head pressure, and so so tired and short of breathe what do you all think?

Thanks for your input
Lisa
Heart to heart

 

[Marty]

Thallium Test

Thallium Test

Lisa, You have good heart muscle. No sign of coronary disease or old heart attack. Good ejection fraction shows your pump is strong. Congratulations!

 

[Lisa45]

Thanks Marty,

I appreciate the encouragement. The cardiologist called me at home last night about 6pm and wants me back in today to see him at 1:30. My husband called him yesterday because since last Friday after my heart cath. I have been sleeping constantly and running low grade fever and he says that is not normal. So... he wants to see me back in the office. Unfortunately really bad timing as Monday the 28th supposed to see my lung transplant doc. and this is 18 months worth of surgery and procedures and tests and I can't afford this heart thing to mess this up for Monday so just pray whatever the heart thing is that they will fix it now so I can move forward with the heart thing.

I already have been dx. with severe aortic insuff. mild mitral reg. and left atrial enlarge. My BP this morning is 142/110 with a 98 pluse and I just don't feel right. So if this dang ringing in my ears will stop and the pressure in my head goes away maybe he can fix this.

I will post when I get home...See I am being positive and assuming they are going to let me come home!

"The Grass is always Greener until you get over there and realize that grass has to be mowed too"

Keep the faith I am


Lisa
Heartfelt

 

[cindy19335]

Doctor Double Talk

Doctor Double Talk

Lisa,

I have spent quite a few years dealing with acute and chronic problems. During this time I received quite an education in report language and can now ask some pretty revealing questions concerning reports. I think there is a really secret language that reports are written in

:confused

I don't know your history Lisa but if that were my report I would question this statement:

Myocardial Perfusion Impression:
Artifact. No reversible myocrdial ischemia seen

I would want to know if the artifact seen was irreversible myocardial ischemia.

What I have found, and what I have been told is that many times reports only discuss what can be treated. If it is untreatable, or chronic, it is up to the doctor whether or not he mentions it. To me, some of the reporting is like double talking, for instance, you doctor sends you to the ER with a heart problem. They do x-rays, report says, no ........., no acute......... What that can mean is that you have no........ but you do have a chronic ............

No means no but no acute can mean you have a chronic.......... Its dotor talk and reporting. Also, sometimes (alot) when something is not mentioned that is normally mentioned, that means there is problem. In other words what is not said is just as important, even more important than what is said.

For all I know your history might include a heart attack and in that case, the question about irreversible ischemia is mute. The heart attack would be irreversible ischemia.

Hope I made sense.

 

[Marty]

NO!

NO!

Sorry, you do not make sense Cindy. Lisa received a report that shows she has excellent heart muscle pumping well. You would be better off if you asked your doctors to help you with the reports of your tests.

 

[Nancy]

The report looked good to me as well, and I'm not even remotely in the medical field.

 

[Lisa45]

Thanks for the Replies

Thanks for the Replies

Thanks Guys,

I am supposed to get a new echo on Wed. and I see the lung transplant doc and a bunch of tests on Monday. As it stands now it is still considered just severe aortic insuff. mild mitral reg. and left atrial enlargement. They said the heart muscle was good, no sign of prior attack and no clogged arteries. That is good news one less hurdle to overcome.

Now, I have to get past the lung transplant people. If they want me to have the valve fixed before they list me for the lung transplant then that is what I have to do becuase once I am listed for the lung transplant it is a 2-3 wait for the transplant and I can't afford to lose the time.

I will definately let you know what happens.
Thanks so much for all your input.

Lisa
Heart to Heart

 

[joy]

Lisa, is it a 2-3 year or 2-3 month wait? I know when my nephew was on the liver transplant list, he had to wait like 6 months, and then like 2 days after christmas on year, an 11 year old boy was killed in a car crash, and he was a donor,and saved sidney's life. I hope it is a 2-3 month wait, I couldn't imagine waiting that long for a surgery that huge! Still in my prayers girl! I'm glad your heart tests turned out good, though!

 

[Lisa45]

Joy,

I know it is difficult to believe but in case of lung transplants it is a 2-3 year wait not months. There are many reasons for it. Some make sense and of course to me some don't. You can once you have been listed be moved to the top of the list if your situation should go down hill real fast. There is also the fact that 47% of the people waiting for a lung transplant die before they ever get it...Wonder why?? There aren't enough donor lungs for one and lungs have to be a very specific size to fit inside a body. It isn't like a liver where part of it will grow back and regenerate itself. Not like a kidney where you can live with one. Not like a heart either where it is protected the most wraped around with lungs. It is a unique organ and the rejection rate is almost 100% or at least it used to be. It has gotten somewhat better since technology has gotten better. Hope that explains some of it. I know it is confusing but that is why we have been so anxious and it has taken 18 months of surgery, procedures and tests to get to the point where I might finally get listed. I am just praying that my heart condition won't interfere with my gettiing listed.

Lisa
Heart to Heart

 

[medtronic of borg]

lungs

lungs

Lisa,
What was the cause of your lung problems? And by the way a heart has to fit by size as well. And a min. of 23 other paramaters. I'm not quite on that list yet but will be soon. That is a long story. When I was still healthy I was a RN. But I had some strokes durring my last surg. (#17) that messed me up. Memory problems. But I would venture a guess that they will want the valve fixed first. But then again I could be wrong.

 

[Lisa45]

Lung Problems

Lung Problems

Medtronic,

Nice to meet you. What kind of nurse are you? I don't know if I missed that part or not. My lung disease is Pulmonary Fibrosis and I had an open lung biopsy a year ago June along with some other surgeries and many procedures. Monday is my second to last appt. with the lung transplant team. I am thinking that they may want my heart valve fixed before they list me as well but I don't know.

I asked my Cardiologosit and he thinks there is a 50/50 shot. I guess I will have to wait until Monday to find out totally.

You have me beat on surgeries by a few I am only up to 12 at this point..

Lisa
heart to heart