Question: I am a 63 year old,white, male.I am 5'10" tall and weigh 210 pounds.I have been having some atrial flutter from time to time for over a year.I do not have shortness of breath or chest pains.I feel good.I am healthy.I do not smoke or drink.I eat healthy and take vitamins.I ride an exercise bike a few times a week with no problem.I had a normal chest xray.My BNP is 28.My echo of heart showed normal valves,ejection fraction of 65,normal size heart,slight diastolic dysfunction.My total cholesterol is 141.My HDL is 53.{I take simvastatin and niacin].My triglycerides are 75.My blood sugar was 94.All of my other blood work is normal.My A1C was 5.2.I do not have diabetes.My blood pressure averages 125/70.My heart rate averages 70.[I take Lisinopril.a baby aspirin, and Metoperol].I had an ultrasound and my aorta is normal size inside and out with slight calcification[hardening of the arteries].I had a nuclear perfusion stress test which I passed with no problem[normal wall movement,ejection fraction of 70].They indicated I had a 1 mm horizontal ST depression on my ECG.They said I do not need to come back for a year.The nurse was not clear as to what the ST depression might indicate.How would you interput all of this information?

My main concern is the significance of the ST depression.

After my exam, echo,xrays,blood tests, and nuclear perfusion stress test I was told;Heart and lungs sound good.Blood work was normal.Xray normal. I have normal wall motion.Normal ventricular function.Ejection fraction of 70.No reversible defects seen.Negative electrocardigram for myocardial ischemia.I showed a 1mm horizontal st depression 11 111 avf v3-6. They said I passed the stress test and would not need to return for a year. Is this of any more help to you in regards to the ST depression?? Thanks,XXXX