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Is The Possibility Of A Non Transmural Infarction Of The Anterior Wall According To A Test Report A Concern?
Question: A recent myocardial perfusion report states:
Then possibility of a non transmural infarction of the anterior wall can not be completely excluded. There is a small area of reversibility of the defect involving the lateral wall which could reflect ischemia. Clinical correlation is recommended.
Myocardial perfusion images demonstrates a moderate to large in size, moderate intensity perfusion of the anterior wall. The defect is fixed.
Then possibility of a non transmural infarction of the anterior wall can not be completely excluded. There is a small area of reversibility of the defect involving the lateral wall which could reflect ischemia. Clinical correlation is recommended.
Myocardial perfusion images demonstrates a moderate to large in size, moderate intensity perfusion of the anterior wall. The defect is fixed.
Brief Answer:
Review of the report in details below.
Detailed Answer:
Hello,
Myocardial perfusion imaging shows how well blood flows through the heart muscle.
1) The report indicates that the blood flow in the anterior wall is moderate.
This risks the anterior wall of injury like infarct due to the blood supply.
2) Through the report it is mentioned also a small area of reversibility in the lateral wall.
This means that there is an area in the lateral wall which is not well supplied with blood.
Treatment in this case will consist in improving blood flow to the heart muscle. It can be with medication or surgery.
You should consult with your doctor about the best option in your case after reviewing also the clinical correlation.
Some advice that I can give to you are:
- Avoid smoking
- Maintain under control the blood pressure
- Maintain under control high blood cholesterol
- Maintain under control blood glicemia
- Eat a healthy diet
- Avoid stress
Hope my answer was helpful. If you have any other question Ill be glad to help.
Regards,
Dr. Dorina Gurabardhi
General & Family Physician
Review of the report in details below.
Detailed Answer:
Hello,
Myocardial perfusion imaging shows how well blood flows through the heart muscle.
1) The report indicates that the blood flow in the anterior wall is moderate.
This risks the anterior wall of injury like infarct due to the blood supply.
2) Through the report it is mentioned also a small area of reversibility in the lateral wall.
This means that there is an area in the lateral wall which is not well supplied with blood.
Treatment in this case will consist in improving blood flow to the heart muscle. It can be with medication or surgery.
You should consult with your doctor about the best option in your case after reviewing also the clinical correlation.
Some advice that I can give to you are:
- Avoid smoking
- Maintain under control the blood pressure
- Maintain under control high blood cholesterol
- Maintain under control blood glicemia
- Eat a healthy diet
- Avoid stress
Hope my answer was helpful. If you have any other question Ill be glad to help.
Regards,
Dr. Dorina Gurabardhi
General & Family Physician
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Would you expect my physician to follow up with any other tests, medicines or procedures?
I should note. I have regular check ups due to type 2 diabetes. My cholesterol reading have always been stellar. Never a high blood pressure reading. A-1c under excellent control.
What would flow up care look like for that. What should I excpect to have to address fro, this situation,
I should note. I have regular check ups due to type 2 diabetes. My cholesterol reading have always been stellar. Never a high blood pressure reading. A-1c under excellent control.
What would flow up care look like for that. What should I excpect to have to address fro, this situation,
Brief Answer:
Follow ups,medications and treatment options explained in details below.
Detailed Answer:
Hi,
The follow up examinations that you physician can give are:
- A physical examination
- Blood tests to check your cholesterol levels, blood sugar, kidney function every six months
- An electrocardiogram to check your heart’s rhythm
- A stress test If you will have symptoms like chest pain
- Imaging test like an echocardiography for further information about the heart function
- At least, the physician can refer you to a cardiologist for further examinations like angiography.
The medicines can be:
- Medications to keep blood levels of cholesterol and other lipids under control if needed in the future
- Continue medications to maintain diabetes under control
- A daily low dose of aspirin
- Medications to take in case of chest pain
Anyway, if you have chest pain I recommend to go to the emergency room for further evaluation.
Treatment depends on many factors.
If the situation is maintained under control you can continue the medications.
If not surgery can be an option.
A cardiac surgeon can explain the details of the surgery if it will be needed.
Take care,
Dr. Dorina Gurabardhi
Follow ups,medications and treatment options explained in details below.
Detailed Answer:
Hi,
The follow up examinations that you physician can give are:
- A physical examination
- Blood tests to check your cholesterol levels, blood sugar, kidney function every six months
- An electrocardiogram to check your heart’s rhythm
- A stress test If you will have symptoms like chest pain
- Imaging test like an echocardiography for further information about the heart function
- At least, the physician can refer you to a cardiologist for further examinations like angiography.
The medicines can be:
- Medications to keep blood levels of cholesterol and other lipids under control if needed in the future
- Continue medications to maintain diabetes under control
- A daily low dose of aspirin
- Medications to take in case of chest pain
Anyway, if you have chest pain I recommend to go to the emergency room for further evaluation.
Treatment depends on many factors.
If the situation is maintained under control you can continue the medications.
If not surgery can be an option.
A cardiac surgeon can explain the details of the surgery if it will be needed.
Take care,
Dr. Dorina Gurabardhi
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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