Gated MIBI myocardial SPECT showing balanced ischemia and global hypokinesia in patient having thrombus in basal segment of dominant circumflex system blocking both left anterior descending and circumflex artery

Myocardial perfusion imaging (MPI) is a powerful diagnostic and prognostic tool for evaluating coronary artery disease (CAD). Gating myocardial perfusion gives important diagnostic and prognostic information. This 43 years old patient was referred for cardiac scan. Exercise stress test showed > 2 mm horizontal ST segment depression. Cardiac scan was normal except for left ventricular cavity dilatation on stress images. Gated images showed global hypokinesia and increased end-diastolic volume. Patient was suspected to have balanced ischemia and was referred for Angiography. Angiography showed total occlusion with no flow in proximal Left Anterior Descending Artery and distal circumflex artery. It is very important to evaluate symptomatic patients and patients with risk factors carefully with normal myocardial perfusion scan.

Medienart:

Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Journal of Ayub Medical College, Abbottabad : JAMC - 22(2010), 4 vom: 03. Okt., Seite 215-7

Sprache:

Englisch

Beteiligte Personen:

Jielani, Asif [VerfasserIn]
Khan, Amjad Aziz [VerfasserIn]
Fatima, Tatheer [VerfasserIn]
Ahmad, Shakil [VerfasserIn]
Khan, Kamran [VerfasserIn]
Zia, Nadeem [VerfasserIn]
Zahaur, Zainab [VerfasserIn]

Themen:

Case Reports
Journal Article

Anmerkungen:

Date Completed 19.04.2012

Date Revised 25.11.2016

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM216560799