I also have mitral valve insufficiency, hypertension since age 40, high cholesterol and high triglycerides all controlled at this time with meds.   

Reason for Appointment

1. PET - SP

Vital Signs

Wt 150 lbs, Ht 61 in, BMI 28.34 Index, BP 106/66 mm Hg, HR 70 /min, Oxygen sat % 99 %.

Examination

Stress Test:        Nurse: Bill Farmer, RN.         Technologist: Robin Jones, CNMT.         Ordering Physician:  Dr. Pasupuleti.         Interpreting Physician: Dr. Pasupuleti.         Study Quaility: Good .         Procedure: Cardiac Positron Emission Tomography: The patient underwent a stress test utilizing 0.4mg of IV Lexiscan infusion over 10-15 seconds. The patient experienced stomach pressure during the procedure and received no medications. The patient had a myocardial perfusion imaging performed using same day imaging protocol, with the injection of 30.0 mCi of Rubidium-82 at 30 seconds into Lexiscan infusion, and the injection of 30.0 mCi of Rubidium-82 at rest. Imaging was performed by gated resting and gated stress technique ,.         Data Summary:          TID: 1.06         Resting EDV: 47         Resting ESV:5         Resting EF:88%                  Stress EDV: 47         Stress ESV:4         Stress EF: 92%                  Baseline BP:103/66         Baseline HR:70         Peak Stress BP:76/46         Maximum HR Achieved:94 .         Exercise Level: N/A .         *Pre-Stress EKG: Normal Sinus Rhythm .         *Stress EKG: Normal Sinus Rhythm , No ST changes.         *Arrhythmias observed  None .         *Resting Left Ventricle size Normal .         *Peak Stress Left Ventricle Size Normal .         *Right Ventricle appears Normal .         *Post stress global LVEF is  Normal .         *FINDINGS:          1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%).         2. Normal wall thickening.         3. Normal LV systolic function..         *CONCLUSIONS:          1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%). Low risk stress test.         2. EF 88%         3. Normal LV systolic function.. 

Assessments

1. Anginal equivalent - I20.8

Treatment

1. Anginal equivalent