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What does this mean? and is this serious? Do i need coronary bypass?

My results of Persantine Nuclear Scan:  Stress and Rest Perfusion images demonstrated moderate sized mild severity partially reversible mid anterior perfusion defect. Raw images demonstrated evidence of breast attenuation.  Resting end-diastolic vol is 93mls and post stress is 101. Resting end systolic vol is 32mls and post stress is 35mls

What does this mean? What can I expect? My doc wants to do a cath, is this necessary?
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