Re: Reversable Ischaemia
I may be wrong, but I think that, If there is isquemia, in particular if there is death tissue (remember the abnormal part detected in the perfusion scan), there is a problem with the energy that your myocardium gets.
After this short angiography, did the dr any indication of what is the abnormal part detected in the perfusion scan??
Now to my knowledge, potential cause of isquemia are:
1) Lack of oxygen due to:
a) Block in your arteries (apparently ruled out)
b) Spasms in your arteries, having you angina, I think that he should have tested this in the angiography. To do it they inject a product that, if you are sensible to it,it will induce the spasm. Spasms produces angina without exertion.
c) Myocardial bridge: The muscle has grown over the artery and in every heart pulse it close the blood flow. But this also should have been seen in the angiography.
d) Blockade of small myocardial vessels.
e) Strong anemia
2) Lack of ATP. ATP is the real energy that the muscle cell needs. It is generated as part of the myocardial metabolism. To be generated a number of nutrients are necessary, but, under certain diseases, some of those are not properly produced. I am not an expert but Carnitine, Taurine and D-ribose seems to be part of the equation.
If I were you, I will ask for a copy of the angiography (they can give to you in CD) and ask a second opinion.
Or anyway, your cardiologist should be able to tell you why you have the angina and how to treat them.