Hey jona,

A reversible perfusion abnormality means that at rest, the area of the heart tissue in question, had an adequate blood supply to perform its duty (contract and relax). Hoewever, when put under load (heart beating fast due to what ever reason), there is inadequate blood supply to that same area of the heart, to allow it to perform its function properly. An inadequate blood supply (ischaemia) under load can then lead to the typical heavy chest pain and suboptimal contraction of the heart tissue that is affected.

In addition, the particular area of the heart that has the reversible perfusion abnormality, can allow the cardiologist to predict which coronary artery or arteries are likely to be partially blocked.

In your case, you will note that the area of your heart that has a reversible perfusion abnormality, is not small unfortunately. You are likely to have a blockage in several coronary arteries, or one blockage, upstream, in the left anterior descending artery. I am sure you are aware that your test result is not something to be taken lightly. Most 67 year olds in my country would have an angiogram and stent inserted fairly quickly if they had this myocardial perfusion scan result. Sorry to alarm you.

I'm guessing that your perfusion study was conducted while you still had symptoms. In which case, a repeat perfusion study might (emphasise might) tell you if your artery is now unblocked, or whether it is still blocked, and you just don't feel the pain anymore for some reason.

I hope I haven't alarmed you too much with this post. My intention is only to give you accurate information, to assist you.

leratiomyces
I really appreciate these explanations. I could see that one doctor was very alarmed while the lead doctor exhibited less concern but recommend catheterization asap as you suggest would be a reasonable and common recommendation.
And yes I am a stubborn person who began to look for another solution. But I don't feel that I am involved in wishful thinking or that I am experiencing some kind of placebo effect. After 6 months of very real heart limits but also of some fairly slow but demanding work( roofing, helping weld and move steel in project of fellow artist) i was finally losing confidence and getting ready to go with the stent.

On the other hand I have a hard time with the idea that the arteries might still be blocked while I have this huge change in my response to heavy heart demanding exercise. How would that happen? I am a physically sensitive human, a dancer, unusually flexible for 67 years, and I know my body well.

As far as barriers to the absorption of cyclodextrin. It seems to me that the boundaries between organic oils and organic sugars, acids, and non-oils is a gradient and not fixed and clearly understood limits. And it seems that if humans can formulate a chemical way past this barrier there may be other ways to do it. These are, after all, strings of blood sugar molecules. The body-mind connection, fasting, diet have convincingly shown little understood healing capacities that may've come into play. But for right now, my intuition is to bet on an effect caused by cylclodextrin.

This is the 64 million dollar question. And one which I have failed to give you a good explanation for. A cardiologist can hopefully give you a more robust reason as to why your symptoms have disappeared.

Can I suggest that the next time you are sitting in front of the cardiologist you say, "my symptoms are gone. How is this possible? Is it possible that my arteries are now unblocked?"

I'd be interested to hear their reply.

Anyway, I genuinely do hope that your arteries are unblocked, and that your heart behaves for you.
Take care.