A member asked:

Spect images demonstrate inferior and apical reversibility from my nuclear stress test. is a cardiac catherization must be done?

4 doctors weighed in across 2 answers

Cath: I don't think you're providing us with enough info to say "yes" or "no". No doc should tell you to do or not to do it based on that little piece of test data. Remember, we're treating people, not test results. Heart caths are done on people with "normal" stress and other tests when presentation mandates so. In your case, without knowing all the other historical data, there is no answer to that ?

Answered 2/28/2020

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Not enough data...: Inferior ; apical reversibility means there is some ischemia in those regions. Without seeing the images it is difficult to tell how much. If there is very mild ischemia, some cardiologists may decide to do medical management (only medicines). If there is any significant amount of ischemia, cardiac catheterization is usually done. Again, it depends on the clinical scenario..Not enough data.

Answered 3/2/2020

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