Abnormal myocardial perfusion scan evidence of mixed scar stress induced ischemia in anterior segment, should I be concerned?

Depends.. Depends on the extent and severity of the ischemia. Also depends on how the function (ef) and wall motion are.
Yes. . Based on your question it sounds like you have disease in the Left Anterior Decending Artery. The scar portion of the scan indicates that the heart muscle was effected by a heart attack. The ischemic portion of the anterior wall is not dead but it does not get enough blood flow during exercise. I suggest you consult with a cardiologist soon, especially if you are experiencing chest pain.

Related Questions

Iv just had a stress myocardial perfusion scan to see if blood is pumping around my heart properly, are there any side affects after having this?

Should not. It's a safe test. There should not be any side effects. Read more...
Radiation... Depending on what radiotracer is used, you will be exposed to a small amount of radiation but the benefits of the test should outweigh the risks. Was it pharmacologic or exercise test? Some of the pharmacologic agents can cause some side effects immediately after stress such as bronchoconstriction but a medication called aminophylline can usually be administered to reverse the side effects. Read more...

I accidently spent 30 minutes with a patient during a myocardial perfusion scan while I am 3 weeks pregnant. Will it cause problems for my baby?

No. I work in a cardiac cath lab and my nurse was pregnanat and wore a badge outside her lead apron. It received essentially zero radiation despite hours and hours of exposure. The key is the inverse square law. The radiation drops off very quickly as you move inches away from the source (the patient's bloodstream). You have had a negligible exposure - you get more on a sunny day! Read more...
Shouldn't. There is no good evidence that this exposure would cause any harm at all to the fetus. But always keep in mind that the spontaneous miscarriage rate is about 15%. The 30 minute exposure described would not increase this rate of miscarriage. Read more...
Not really. Diagnostic imaging radiation is very low and not likely to cause any problems with your pregnancy. Follow up with your ob/gyn as usual. Read more...

How long following a myocardial perfusion scan should I wait before visiting a person with a pacemaker?

No need to wait. No need to wait at all. Avoid having infants on your lap for 24 hours. Read more...
No delay necessary. When you are released from the clinic, you have been determined to be safe to be around other people, so you can visit them immediately when you are sent home after the test. Read more...
Immediately. There are no contraindications to visiting a person with a pacemaker after you had a nuclear stress test. You can visit them anytime as the radiation does not effect the pacemaker. . Read more...

How much radiation will I receive with a thallium myocardial perfusion scan?

18 mSv. For comparison, a chest x-ray is 0.02 msv and and abdominal ct scan would be 10 msv. So the thallium scan is like getting almost a thousand one view chest x-rays. These amounts of radiation are not trivial and a certain number of cancers will occur related to the test. If you get multiple tests, the radiation is of course even greater. Read more...
Depends on dose. It depends on the dose but a rough estimate would be 15 to 20 msv. Read more...
10-20 mSv approx. The thallium-201 dose administered varies from one patient to another according to the patient's weight. The radiation from a standard dose varies from 10-20 msv ( milli sievert). In comparison, a flight from los angeles to london gives 0.05 msv and the annual natural background is equivalent to 3 msv. A cardiac catheterization will give 200 msv to the skin. Read more...

What should I avoid before a myocardial perfusion scan thallium scan cardiac nuclear imaging?

Caffeine. You should avoid caffeine and beta blockers, just because they interfere with the test. Read more...
Caffeine. As the clinic for specific details, but in general no caffeine for 24 to 48 hours, no blood pressure medications for 24 hours, and no nitrates for 24 hours. Some clinics will have you continue your medications up to the day of the test, so check with them. Read more...
Coffe tea chocolate. If you have a pharmacological stress test such as adenosine, Dipyridamole or lexiscan, you should avoid coffee, chocolate, tea, "brown" colas and aminophylline- containing medications for 12-24 hours before the test because they contain caffeine, an "antidote' to the test. If you have a treadmill stress test, betablockers should be stopped with the approval of your physician. Read more...

Does a myocardial perfusion scan show blockage in the heart?

Yes. The myocardial perfusion scan is designed to show if there is a blockage in the coronary arteries. The tracer (thallium lets say) follows the blood in the heart and seen on a camera.If a blockage is present it will show up as a dark spot where the tracer couldnt get to.The next step is a heartcath usually, these scans arent a 100% and you can have false positives and negetives. Read more...
Blood Perfusion. The angiogram shows anatomic blockage of coronary arteries. The myocardial perfusion scan shows blood flow to the heart. Blood flow can get past large blockages (shown on angiography) if there are enough small, collateral vessels present. Read more...

Can people with movement disorders have a myocardial perfusion scan?

Heart scans. It would depend on the severity of the movement disorder. In general, patients need to lie still while their heart images are being acquired by the nuclear camera. Read more...
Depends. How much movement of the chest is present? Can this be controlled for 10 to 20 minutes? Some of the newer cameras can get the scan done in 5 minutes or even less, but most of the time you would need to have your chest stay still for about 20 to 30 minutes. Other options may be preferable, perhaps a stress echo or cardiac ct. Read more...
Yes. Any test can be completed, if really needed by using anesthesia. Get imaging plan prepared by your doctor. Read more...

Will a myocardial perfusion scan look at the arteries in your neck and head?

No. No it just looks at heart muscles uptake of a radioactive substance, which is correlated with blood flow to the heart. Read more...
No. Usually the camera only images your chest and abdomen. You would need a different scan to image arteries in the neck and head, a common one would be ultrasonography for carotid intima media thickness. Read more...
Only heart. A cardiac perfusion scan measures the amount of blood supplied to your heart muscle. Radiotracers are injected intravenously and travel through blood to heart muscle. Indications for this study include chest pain, previous heart attack, heart surgery and coronary artery disease. Ultrasound, MRI , ct with contrast, arteriography, and brain scans address issues in head and neck. Read more...