can anyone medical explain these cardiac MRI results?

[lirael]

Have another thread going on this but as its dropped down the list I thought I just ask to see if anyone in the know could help me interpret the medical terms. It says that the MRI 'denotes mildly reduced movement of the mid basal inferolateral left ventricular wall with some late gadolinium enhancement. The mitral valve prolapse is giving rise to trivial mitral regurgitation'.

Thanks

Did the person who gave you the results not interpret them for you?

What did the doctor say? I am having a cardiac MRI next friday. Did you have it in London?

No sensible doctor will interpret the results for you without knowing your history, symptoms and other test results. Best wait to hear the explanation from your own team

Lirael
The "trivial mitral valve regurgitation" , I have and means some of the blood goes back instead of out. However, the word trivial means insignificant and nothing to worry about.
The "late gadolinium enhancement" refers to the specific scanning technique, which was able to detect the "mildly reduced movement"in the LV. What that means I am not sure, but obviously implies that it should be moving a little more.
Again it says "mildly". They tend to have mild, moderate and serious catagories to describe the degree of abnormality.

Sorry I can't be more specific.

lireal - my dd has reduced movement of several segments of her heart - hypokinesia and tardokinesia. The different segments of the heart are served by different coronaries - left, right and circumflex.

Regional hypokinesia is usually visible after a heart attack.

I haven't seen a doctor since getting the letter. They have a policy locally to send a copy of every letter that goes to the GP to the patient as well. Unfortunately I usually get the letters three or four days before the GP does.

The only other thing the letter said was that due to these results, my very frequent ventricular ectopics and my 'borderline' treadmill test, I am being referred for an angiogram on Monday, which I'm hoping will give me some answers.

They are being very thorough lirael which is a good thing - though a worry for you in the meantime. Hopefully the angiogram will reveal something that is easily solvable.

Yes I'm very conscious that I'm getting good treatment - its all been very efficient and the people in the cardiology department are lovely. Just scary to be plunged into it all as the result of a routine check up!

Don't worry about the mitral regurge, lots of people have it with no problems.

A small piece of your heart muscle is not moving, this could be because you have had a very small heart attack. If you have then one or more of your coronary arteries may be blocked or narrowed.

The angio will look at your coronary arteries and any narrowing or blockage seen.

Lirael
Good Luck on Monday for the Angiogram.

Thank you both. Ssash - can you have a small heart attack without noticing?

You can have a small heart attack without noticing. I see plenty of people who have. Also, many who have put chest pain/discomfort down to indigestion when it's been angina/heart attack.

The gadolinium bit refers to the dye they infected you with tht helps enhance the images on mri

Women often have different symptoms to men when having a heart attack. We don't necessarily have the classic crushing chest pain thing; could be a pain in the middle of the back or under your shoulder blade.

Good luck on Monday.

Well I've had plenty of indigestion and heartburn in the past few years - has gone away with Zantac though. Well, will just have to wait and see.
Thanks for good wishes.

Hope it goes well today lirael.

Am back from angiogram and it went fine. No coronary artery disease, no heart failure - hurray! But heart still pumping abnormally. Consultant wants to talk to colleagues about two arteries that seem to be 'angulated' (I think it means they kink a bit). He said it's the way my heart is formed and is pretty sure they're not causing the problem, but I may have to have an ultrasound angiogram to investigate further, if his colleagues advise it. He said there's a more pressing need to sort out my ectopics so have got to up my dose of beta blockers to 10mg - as 5mg makes me tired!

But all in all much better news than I'd feared.

Hi @lirael
I know this is a really old post, but how did you get on? I'm going through similar and having all the tests you had,