{"text":"0809555328[CHI]-{,,};CLELLAND, Agnes ;08-Sep-1955;Female ' Page 1 of 1 \nExercise Tolerance Testing | \nPerformed 01-Oct-2012 09:33 Received 08-Nov-2012 17:55 \nReported 08-Nov-2012 17:33 Order Number G107H27244896 \nStatus Final Source System MiSys ) \nExercise Tolerance Testing . Final \nAgnes Clelland \nClinical History : Rapid access chest pain referral. Atypical chest pain. Multiple risk factors - \nT2DM; High BP; Hyperqholesterolaemia. Inconclusive ETT. \nDrugs: ISMN; Statin; Ramipril; GTN; Aspirin; PPI; Metformin; Symbicort; Salbutamol; \nGabapentin: \nSummary: Dobutamine stress test to THR. No ST change. Small to mederate area of \nreversibility detected (LAD\/Circ). Normal LV and mildly impaired RV ejection fraction. \nStress test: \nStress test: DOBUTAMINE \nWorkload pattern; 3X5 ;3X10 ;3X20 ;1M 30 S X 30mcg\/Kg\/min \nStopped with: VOMITING;UNABLE TO HEAR BP \nHR response: 78-123-130 \nBP response: 150\/90-140\/60-NR \nRest ECG: WITHIN NORMAL LIMITS \nStress ECG:.NO ST CHANGE \nInterpretation: NEGATIVE ETT (INJECTED AT 130BPM\/NERG\/GM SEEN ON SCREEN) \nPerformed by: DR GOODFIELD;MRS MCINTOSH \nThallium (perfusion) scan: \nNC study code: MY0O124504 \nReport: Stress thallium:scan shows a very large anterior; lateral; septal and posterior perfusion \ndefect with preserved regional wall motion. Partial redistribution anteriorly; distal-septally; distal- \nlaterally and posteriorly. Minimal change basal-septally and basal-laterally on imaging at 3.3 \nhours. Defect partly attenuation artefact. Overali consistent with a smafi area of reversibility \ndetected in the LAD\/Circumflex territory. \nBlood pool ventriculography: . \nNC study code: CBP124501 \nLVEF: 43% . - \nRVEF: 30% \n(Normal range: LVEF; RVEF >= 40% by this technique) \nReport: Overall normal LV and mildly impaired RV ejection fraction. No focal regional wall \nmotion abnormalities. \nAnalysed by: MM \nReported By: DR MCCURRACH;MRS MCINTOSH;DR MARTIN \nReported by: Dr William Martin and Dr Graham McCurrach \nVerified by: Dr William Martin \nhttps:\/\/www.gge-portal.scot.nhs.uk\/results\/SingleResult.action?pageTitle=Single+Radiol... 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