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What Does This Lab Report Showing Reversible Profusion Abnormality In The Apex Indicate?
Question: what is reversible profusion abnormality in the apex. left ventricular shows decreased uptake in the apex and in the inferior wall near the apex
Brief Answer:
Reversible perfusion defect
Detailed Answer:
Hello and thank you for your question. Perfusion is about blood flow to the cardiac muscle. When the heart muscle is well perfused it means it is getting adequate blood flow. When you have a stress test they usually do two sets of images one at rest and one under stress. In the resting part of your stress test it sounds like the arteries are open and you are getting good flow to the heart muscle. During stress what happens in some people is that the arteries contract and there is less perfusion of the cardiac muscle. If the blockage were there all the time then the rest part of the test would be anormal. In your case it sounds like you had less perfusion of the cardiac muscle during stress but that at rest your perfusion of the cardiac muscle is normal. In some cases this can mean that there are some blockages that are not showing up at rest. Often, then the cardiologist may want to do a cardiac catheterization to look more closely at the vessels. I hope this helps you understand the idea of perfusion defect. Thank you for using HCM.
Reversible perfusion defect
Detailed Answer:
Hello and thank you for your question. Perfusion is about blood flow to the cardiac muscle. When the heart muscle is well perfused it means it is getting adequate blood flow. When you have a stress test they usually do two sets of images one at rest and one under stress. In the resting part of your stress test it sounds like the arteries are open and you are getting good flow to the heart muscle. During stress what happens in some people is that the arteries contract and there is less perfusion of the cardiac muscle. If the blockage were there all the time then the rest part of the test would be anormal. In your case it sounds like you had less perfusion of the cardiac muscle during stress but that at rest your perfusion of the cardiac muscle is normal. In some cases this can mean that there are some blockages that are not showing up at rest. Often, then the cardiologist may want to do a cardiac catheterization to look more closely at the vessels. I hope this helps you understand the idea of perfusion defect. Thank you for using HCM.
Above answer was peer-reviewed by :
Dr. Yogesh D
the cardiac XXXXXXX did not show any blockage my arteries are clear. does that mean the decreased flow is caused from lungs. also would this problem cause chest pain and pressure also sometimes feeling like no circulation in legs without any blockage in heart during increased activity
Brief Answer:
reversible perfusion defect
Detailed Answer:
Hello and thanks for your follow up. It is wonderful that your catheterization showed normal coronary arteries. The perfusion defect would not come from lung disease but could come from some coronary artery spasm when you are stressed. This could cause some chest discomfort but would not cause problems in your legs. If you are feeling like your legs are not getting adequate blood flow then your doctor may need to do some testing to make sure there is adequate blood flow to the legs.
Regards,
Dr. Robinson
reversible perfusion defect
Detailed Answer:
Hello and thanks for your follow up. It is wonderful that your catheterization showed normal coronary arteries. The perfusion defect would not come from lung disease but could come from some coronary artery spasm when you are stressed. This could cause some chest discomfort but would not cause problems in your legs. If you are feeling like your legs are not getting adequate blood flow then your doctor may need to do some testing to make sure there is adequate blood flow to the legs.
Regards,
Dr. Robinson
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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