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Has anyone had a Persantine Stress Test with Cadiolyte and Reverse Perfusion defect?

by fluffypurrcat, May 23, 2008 12:46PM
Hi, I have been searching the post here on the forums, as well as the internet, and can not get a straight answer, so thought I would try posting again to see if I get a response. I have tryed talking to doctors, but everyone has a different opinion.

I had a persantine Stress test with Cardiolyte about May 12th. I couldn't use the tread mill because of my back and two recent foot surgeries, and my dr. thought it was best for the Persantine Stress test. I had the symptoms of a heart attack on April 2nd, and being in denial did not go to the E.R, and when I saw my regualr dr. in the latter part of April, she said I needed this stress test as she was sure I had had a MI, and put me on different meds includding NItro.
            Here is the part I want help with. My stress test was abnormal on rest, My Resting study was called Reverse Perfusion Defect, and the cardiologist reviewing it said it probably indicated that I had a recent MI, and allso somethng about Stunned Myocardium.  Further clinical correlation.

           I have had two dr.s tell me it indicates yes indeed I did have a MI, another one said it was inconclusive, he thought it was normal. ( But he did not get to see the pictures of my heart, only the paper report.) Now I am set up for a Cardiac Catherization on June 2'nd to find out what is going on for sure.
        Everything I have read talks about reverse Perfusion in terms I do not understand. One item I found on the net last night calls it; Reverse Redistribution in Resting Thallium imaging. NObody seems to call it exaclty the same term, or if they do, they do not describe what the significence of what this means. Nothing is in laymans terms.
     To put it as easily as I can, the way the dr. described it to me was like this. In the test, on resting imaging, my heart was lit up like a Christmal tree, ( Reverse Perfusion Defect ) and this is the way it should have been after Exercise, not before exercise, so this indicated there was a problem and that my Mocardium, the apex was one of the areas, that did not absorb, or take up this dye correctly when exercising, and this is what indicated there had been some recent damage.
Here is one statement; Reverse redistribution appears t occur most frequently following thrombolysis post
myocardial infarction. Then there is a statement showing the percentage of percentages of segments at specific time periods. At 1-2 month post myocardial infarction reverse redistribution was recorded at 48%. ( I fit the 1 month post MI timeframe.)

Is there anyone else out there who also had this same Reverse Perfusion defect happen to them. ( Reverse resting image compared to stress image takeup of dye. ??) If so, I would love to hear from you and hear your expereince. This is driving me crazy, I know someone must have had the same thing happen to them. Help please if you can.
Thank you in advance.                                          fluffypurrcat
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