Myocardial Perfusion Imaging

Posted by mauni @mauni, Dec 15, 2021

Should I be concerned: "There is a small in size anterior perfusion defect from Apex to mid cavity with motion artifact, concerning for ischemia." My doctor just blew it off.

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Hello Mauni. I can understand why this might be concerning. Was the doctor who dismissed this a cardiologist? Something that doctors do is to try not to create anxiety in their patients. Sometimes there are anomalies in organs or blood vessels and they may not be serious or they may possibly in the future contribute to an issue depending on what other health changes could factor into the mix. Sometimes, a piece of information could be useful in the future. Nothing is perfect. I have a vascular anomaly too called an AVM which is a clump of abnormal vessels in the brain. These kinds of things are usually found accidentally during imaging. When I asked a brain surgeon the question about my AVM, he told me not to worry about it unless I was having seizures. It is something that could cause a problem in the future or it may not, but I know that making sure my blood pressure doesn't get high will prevent issues. The same is true of the heart because it is always pumping against blood pressure. If you are concerned, you may want another opinion from a new cardiologist. Connect members are patients, and only a medical professional can give you a diagnosis of what is important for your health care. You can always ask your doctor what you can do to prevent a problem in connection with this finding.

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@jenniferhunter

Hello Mauni. I can understand why this might be concerning. Was the doctor who dismissed this a cardiologist? Something that doctors do is to try not to create anxiety in their patients. Sometimes there are anomalies in organs or blood vessels and they may not be serious or they may possibly in the future contribute to an issue depending on what other health changes could factor into the mix. Sometimes, a piece of information could be useful in the future. Nothing is perfect. I have a vascular anomaly too called an AVM which is a clump of abnormal vessels in the brain. These kinds of things are usually found accidentally during imaging. When I asked a brain surgeon the question about my AVM, he told me not to worry about it unless I was having seizures. It is something that could cause a problem in the future or it may not, but I know that making sure my blood pressure doesn't get high will prevent issues. The same is true of the heart because it is always pumping against blood pressure. If you are concerned, you may want another opinion from a new cardiologist. Connect members are patients, and only a medical professional can give you a diagnosis of what is important for your health care. You can always ask your doctor what you can do to prevent a problem in connection with this finding.

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Thank you. I have Sick Sinus Syndrome , a pacemaker, and more recently CABG. Two strokes about 5 years ago. Of course I'm concerned but I agree if its something we can do nothing about, then I just have to deal with it. I do want to feel more prepared.

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