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