Note: ECHO data given below impression
Impression:
Markedly increased LV volume.
Moderately increased RV uptake.
Large mixed transmural / nontransmural MI in the apex and apical three fourths of the anterior wall and septum (arrows) (11/25 segments, 40% of total myoardium) (LAD territory).
Minimal peri-infarct ischemia in the anterior-lateral wall (small lines) (1/25 segments).
ECHO
Moderate LV dilatation with moderate to severe reduction of systolic function. EF=about 25%.
Generalized global hypokinesis with multiple regional wall motion abnormalities including severe hypokinesis to akinesis of the anterior wall, septum, and apex.
Mild MR and TR (1-2+).
Comments:
Notice the extent and severity of the MI in the bull eye plots, only minimal stress induced peri-infarct ischemia detectable. Notice also that the extent and severity of the resting perfusion defects matches the LV volume.
