Difficult Cases
Early post PTCA imaging
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
  • Std.Persantine
    • Duration of stress
  • 4 min
    • Peak heart rate (85%)
  • 61 --> 76 (85%=134)
    		•
    Systolic BP (basal --> peak)
  • 112 --> 124
    • Double product (peak rate x BP)
  • 9.424
    		•
    Reason for termination
  • Protocol. Typical chest pain (9 of 10 ) during infusion. Resolved by 4 min of recovery.
    		•
    ECG findings
  • Upsloping ST changes
    		•

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    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
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    Initiated: Nov 19, 1995. Last updated: April 26, 1999.