fixed perfusion defect of moderate severity involving apex
My nuclear cardiology report suggests " Cardiac spect with dipyridamole intervention is negative for inducible ischemia. There is evidence of a small size fixed perfusion defect of moderate severity involving apex.
Would highly appreciate your opinion on it.
You report suggests that the very lower tip of your heart, on the front left side did not have good blood flow during your tests. The fact that it was fixed means it was the same during stress and rest. This would indicate that there is a small area of cells that are dead, most likely due to a past MI.
Did your test report indicate the presence of soft tissue attenuation? In any case, this is not really a dangerous thing, especially if the rest of your test was normal and your EF% was in the normal range. The fact that your test was negative for inducible ischemia means that the rest of your heart was normal and no lack of blood flow to the rest of your heart was noticed and this small defect did not cause symptoms or lower the function of your heart. This may have been a result of poor imaging as well so your cardiologist may have determined it to be a normal test variant.
Have you asked your doctor to explain this and what it means to you? If not, you should set up an appointment to go over these results,they owe you that.
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