Fixed Perfusion Defects
Transmural Anterior-Apical-Inferior Wall MI
Case history/ Imaging data
SPECT myocardial perfusion studies were performed using Thallium-201. Images representing myocardial perfusion were obtained at peak stress, reinjection (rest), and 4 hours delayed.

Stress protocol
  • Treadmill / Modified Bruce
    • Duration of stress
  • 9 min
    • Peak heart rate (85%)
  • 55 --> 112 (85%=141)
    		•
    Systolic BP (basal --> peak)
  • 90 --> 130
    		•
    Double product (peak rate x BP)
  • 14,600
    		•
    Reason for termination
  • No chest pain
  • Submaximal protocol
    • ECG findings
  • ST-T abnormality at rest
  • Accentuation with stress
    		•
    IMAGES
    FINDINGS
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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
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    Initiated: Nov 19, 1995. Last updated: April 26, 1999.