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What Does Two Dark Spots On Heart In A Stress Test Suggest?
I had a stress test done on my heart last week and my doctor told me today that there are two dark areas on my heart, and that It could mean some sort of damage or even shadows. Everything else check out good but he would like to do a cardiac catheterization to verify the spots. My question is, is this my only option? I dont feel any chest pain or any other symptom. I would hate to go through with it just to find out they were shadows. I also have slight damage to my kidneys and high blood pressure and I am afraid of complications.
Thu, 31 Mar 2016
Hello , I am Dr. Mody and I would be addressing your.
In most probability he did a perfusion scan / contrast 3 go and the dark spots in such situation suggest decreased perfusion of blood to that segment of heart . Like he truly mentioned it can be a false positive.
Now , in your case Yes , conventional angiography would be the best choice forward , the other CT angiogram will use dye like conventional angiogram and many cause kidney injury and yet not give us the final version.
The other way would be to start medical management of the same and repeat the scan after 3 months to see if any dynamic increase in those black spots is there .
However as you rightly know , the dye used in angiography can harm the kidney atleast transiently and so reno protective measures needs to be taken before angiography.
Hoping I could help.
Regards Dr Priyank Mody
In most probability he did a perfusion scan / contrast 3 go and the dark spots in such situation suggest decreased perfusion of blood to that segment of heart . Like he truly mentioned it can be a false positive.
Now , in your case Yes , conventional angiography would be the best choice forward , the other CT angiogram will use dye like conventional angiogram and many cause kidney injury and yet not give us the final version.
The other way would be to start medical management of the same and repeat the scan after 3 months to see if any dynamic increase in those black spots is there .
However as you rightly know , the dye used in angiography can harm the kidney atleast transiently and so reno protective measures needs to be taken before angiography.
Hoping I could help.
Regards Dr Priyank Mody
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