In order to provide an X-ray diagnostic imaging apparatus which can detect anomalies caused by factors other than wearing of a bearing of an X-ray tube, according to the present invention, there is provided an X-ray diagnostic imaging apparatus including an X-ray tube that irradiates an object with X-rays, an X-ray detector that detects X-rays having been transmitted through the object, an image creation unit that creates a medical image of the object on the basis of the output of the X-ray detector, a change amount measurement unit that measures a change amount of an X-ray focal point which is an X-ray generation point of the X-ray tube, and an anomaly detection unit that detects an anomaly in the X-ray tube on the basis of whether or not the change amount falls within a predetermined normal change range.
