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What Does My Scan Report Indicate?
Question: HI I am a 57yearold and juist came out of the hospital after chest pain they did a lexiscan and echocardiogram and they both abnormal . I would like to know what Moderate area of diminished perfusion is involving the apex and apical septal inferior and lateral segments is and is this something that is long tram or can it go away.i do have a a history of cad with a ballon XXXXXXX in 1998
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Brief Answer:
My answer as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and medical history and would explain that your cardiac tests have shown low coronary artery perfusion, which means that you suffer from coronary artery disease.
Coming to this point, I would recommend performing a coronary angiography which helps examine exactly the blood flow in your coronary arteries and determine the number of the arteries which are affected by this disorder.
This is the golden standard tests for the diagnosis of this disorder.
Only after this examination, you can discuss with your doctor the proper treatment options (medical treatment, stent implantation or Bypass surgery).
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and medical history and would explain that your cardiac tests have shown low coronary artery perfusion, which means that you suffer from coronary artery disease.
Coming to this point, I would recommend performing a coronary angiography which helps examine exactly the blood flow in your coronary arteries and determine the number of the arteries which are affected by this disorder.
This is the golden standard tests for the diagnosis of this disorder.
Only after this examination, you can discuss with your doctor the proper treatment options (medical treatment, stent implantation or Bypass surgery).
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
THANK YOU FOR YOUR HELP I HAVE A PRIMARY CARE DR APPT IN THE AM I WILL ASK HIM TO SEND ME TO A OTHER CARDOLOGIST. THANK YOU. I HAD A XXXXXXX DONE IN oCT2015 AND HE SIDE THEY WERE NO BLOCKAGES . DO YOU THANK I WOULD NEED I NEW ONE DONE?
Brief Answer:
My opinion:
Detailed Answer:
Hello!
Thank you for the additional information!
Coming to this point, I would like to explain you that as you have recently abnormal lexiscan and echocardiogram results, which you don't refer to have been present in the past front tests, and you also have a past history of coronary artery disease and coronary intervention (coronary angioplasty), your actual clinical symptomatology (intermitent chest pain) needs to be seriously considered, through further investigations.
Though you have a previous XXXXXXX test in October 2015, which didn't reveal any clinical significant blockages, we could not be sure if this result is persistent even after 9 months.
So, to conclude, considering all the above medical evidence would be wise and prudent to review again your coronary arteries with a new coronary angiography.
This is my professional opinion.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
My opinion:
Detailed Answer:
Hello!
Thank you for the additional information!
Coming to this point, I would like to explain you that as you have recently abnormal lexiscan and echocardiogram results, which you don't refer to have been present in the past front tests, and you also have a past history of coronary artery disease and coronary intervention (coronary angioplasty), your actual clinical symptomatology (intermitent chest pain) needs to be seriously considered, through further investigations.
Though you have a previous XXXXXXX test in October 2015, which didn't reveal any clinical significant blockages, we could not be sure if this result is persistent even after 9 months.
So, to conclude, considering all the above medical evidence would be wise and prudent to review again your coronary arteries with a new coronary angiography.
This is my professional opinion.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
THANK YOU FOR YOUR HELP.
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Greetings!
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Greetings!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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