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Old 02-27-2020, 09:45 PM
 
28,122 posts, read 12,561,700 times
Reputation: 15332

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I had a stress test done the other day, they sent me this earlier this evening...


Impressions...No evidence of myocardial ischemia or prior myocardial infarction
Dilated left ventricle
Normal left ventricular global systolic function


I understand that a 'dilated left ventricle' basically means the walls are thinner in that section,(stretched out), due to blood pressure, obesity, or other things...but Im not sure what that last part means, in relation to the dilated left ventricle...Im assuming the word 'normal' is a good thing, and it says NORMAL left ventricular global systolic function?


Does anyone know what this means?
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Old 02-28-2020, 06:41 AM
 
Location: The Driftless Area, WI
7,226 posts, read 5,092,911 times
Reputation: 17709
Quote:
Originally Posted by rstevens62 View Post


I understand that a 'dilated left ventricle' basically means the walls are thinner in that section,(stretched out), ?

You're confusing a dilated (enlarged) ventricle with a ventricular aneurysm.

A normal stress test means there's a 90% chance that you don't have coronary artery disease bad enough to do anything about at this point. (10% chance you do-- a false negative test)

The reading of dilated ventricle is presumably based on the nuclear scan done after the exercise portion of the test and isn't terribly reliable by that method. Most likely it's an "over-read" by the radiologist and not real, but maybe your doc should consider further imaging sturdies to evaluate it.

OTOH- if they made the comment based on the EKG, then it's the doc who's confused. High voltage on the EKG implies ventricular hypertrophy, not dilatation. Two different things.


Ask you doc.
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Old 02-28-2020, 08:47 AM
 
28,122 posts, read 12,561,700 times
Reputation: 15332
Quote:
Originally Posted by guidoLaMoto View Post
You're confusing a dilated (enlarged) ventricle with a ventricular aneurysm.

A normal stress test means there's a 90% chance that you don't have coronary artery disease bad enough to do anything about at this point. (10% chance you do-- a false negative test)

The reading of dilated ventricle is presumably based on the nuclear scan done after the exercise portion of the test and isn't terribly reliable by that method. Most likely it's an "over-read" by the radiologist and not real, but maybe your doc should consider further imaging sturdies to evaluate it.

OTOH- if they made the comment based on the EKG, then it's the doc who's confused. High voltage on the EKG implies ventricular hypertrophy, not dilatation. Two different things.


Ask you doc.
My EKG was done couple weeks before the nuclear stress test, doctor said the EKG was normal.
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Old 02-28-2020, 11:42 AM
 
17,503 posts, read 13,293,376 times
Reputation: 32934
Quote:
Originally Posted by rstevens62 View Post


Does anyone know what this means?
Your doctor knows you and what your results mean for you.

Ask your doctor, not us
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Old 02-29-2020, 06:12 PM
 
Location: Northern Maine
5,466 posts, read 3,057,291 times
Reputation: 8011
Quote:
Originally Posted by rstevens62 View Post
I had a stress test done the other day, they sent me this earlier this evening...


Impressions...No evidence of myocardial ischemia or prior myocardial infarction
Dilated left ventricle
Normal left ventricular global systolic function


I understand that a 'dilated left ventricle' basically means the walls are thinner in that section,(stretched out), due to blood pressure, obesity, or other things...but Im not sure what that last part means, in relation to the dilated left ventricle...Im assuming the word 'normal' is a good thing, and it says NORMAL left ventricular global systolic function?


Does anyone know what this means?
You pay a lot of money for that test plus the doctor who reads it, ask them.
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