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Can someone decipher this Stress Echo for me?

I am a 38 year old female with A-fib w RVR - first episode, and these are the findings of my nuclear stress echo.

HISTORY: Atrial fibrillation and chest pain.

RADIOPHARMACEUTICAL: 10.26 mCi of Sestamibi was given for the resting study. 31.9 mCi of Sestamibi was given for the stress study.

FINDINGS: Ejection fraction is 74%. End-systolic volume is 19 mL. End-diastolic volume is 73 mL. SPECT images were obtained in short axis, horizontal and vertical long axis projections. There is no evidence of reversible or fixed perfusion defects. No wall motion abnormalities except for mild hypokinesia of the septum. The SPECT images obtained in the short axis, vertical and horizontal long axis projections are unremarkable.

CONCLUSION: Normal myocardial perfusion study. Normal ejection fraction of 74%. No reversible or fixed perfusion defects in this study. Normal wall motion. Except for mild hypokinesia of the septum.
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replied February 2nd, 2019
Hello and welcome

I appreciate your concern

The hypokinetic septum can be due to many things -- Ischemic heart disease , abnormal electrical conduction , artifact in case of left bundle branch block or a pacemaker and valvular heart disease. Rest of the nuclear stress is completely normal. You need to confirm with your cardiologist whether the hypokinetic septum was an artifact related finding or not.

Wishing you best of health


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