Reversible Perfusion Defects
Transmural/Nontransmural MI
with Stress-Induced Ischemia
Case history/ Imaging data
SPECT myocardial perfusion studies were performed using Tc-99m-Sestamibi. Images representing myocardial perfusion were obtained at rest and peak stress .

Stress protocol
  • Treadmill / Bruce
    • Duration of stress
  • 9 min
    • Peak heart rate (85%)
  • 90 --> 136 (85%=122)
    		•
    Systolic BP (basal --> peak)
  • 115 --> 150
    • Double product (peak rate x BP)
  • 24,000
    		•
    Reason for termination
  • Fatigue. No chest pain
    • ECG findings
  • ST-T abnormality at rest
  • Accentuation with stress
    		•
    IMAGES
    FINDINGS
    IMPRESSION
    (TUTORIAL)
    TITLE PAGE
    CONTENTS
    PREV. CASE
    NEXT CASE


    Atlas of Myocardial Perfusion SPECT
    © Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
    Comments and errors to atlasspect@yahoo.com
    Contributions and case related information through     Fmannting@bics.bwh.harvard.edu
    Please include URL reference with correspondence
    Initiated: Nov 19, 1995. Last updated: April 26, 1999.