It is difficult to know whether this might progress. However, in many people for whom pulmonary emboli have been a problem, it is not uncommon to have some long-term effects on the heart. If you do continue to have exertional symptoms, I definitely recommend that you discuss them with your doctor to see if any further evaluation might be appropriate. Take care.View Thread
In some cases, it is possible for congestive heart failure to impact cognition. Medications may also have this effect. I would recommend that you bring this up specifically with her physicians to see if some sort of formal evaluation would be appropriate as the next step. I wish her all the best.View Thread
It's fantastic that you have been exercising over the years and are motivated to keep it up! The decision of how and when and where to begin exercise after a heart attack should be made between you and your cardiologist. It might be a great time to talk about cardiac rehabilitation, a structured exercise program that is prescribed, and has been associated with improvements in hard clinical outcomes by 20%!View Thread
A coronary angiogram is a more definitive test than a nuclear stress test in determining whether you have coronary artery blockages and whether you might benefit from bypass surgery. If you are medically stable, it is reasonable to discuss options (medical treatment, stents, surgery) with your doctor or with additional doctors.View Thread
I would agree that it makes sense to discuss these findings with a cardiologist.
The combination of an elevated troponin measurement, symptoms, and a wall motion abnormality on your stress test are all suggestive of cardiac concerns - like a heart attack. A cardiologist can hopefully help explain your test findings and recommend any appropriate medications or other testing.View Thread
The general goals of a stress test is (1) to try to detect coronary artery disease and evidence of prior heart attack and (2) to try to determine overall prognosis.
Whenever there is "decreased uptake" of the radioactive tracer in the heart, that can be suggestive of a prior heart attack or a coronary blockage, but can also occur as a "false positive" in people without heart disease. That's why it's important to discuss your test results with your doctor.View Thread
The number 35% refers to the "ejection fraction" - which is the percentage of the contents of the heart's major pumping chamber, the left ventricle, that are "ejected" from the heart with each heart beat. Normal is a range of about 55% to 75%.View Thread
The risk of major complications from a pacemaker implantation are low, but should be discussed with your doctor. The scar is generally two inches long or smaller. The number of wires does not specifically impact the size of the scar. You might want to discuss the purpose of each wire for your procedure with your doctor. Take care and all best for the upcoming procedure.View Thread
Thanks for your post - I agree that this should definitely be followed up with a cardiologist. His reduced heart function is an important finding, and further testing and medical treatment may be appropriate.View Thread