Special cases
Subendocardial Ischemia
Case history / Imaging data
SPECT myocardial perfusion studies were performed using Tc-99m-Sestamibi and Dobutamine. Images representing myocardial perfusion were obtained at rest and peak stress.

Stress protocol
  • Dobutamine
    • Duration of stress
  • 8 min 34 sec
    • Peak heart rate (basal --> peak)
  • 73 --> 136 (85%=132)
    		•
    Systolic BP (basal --> peak)
  • 190 --> 220 --> 205
    • Double product (peak rate x BP)
  • 29,900
    		•
    Reason for termination
  • Typical chest pain
    • ECG findings
  • ST abnormality at rest
  • >2mm ST depression during stress
    • IMAGES
    FINDINGS
    IMPRESSION
    (TUTORIAL)
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    Atlas of Myocardial Perfusion SPECT
    © Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
    Clinical information and comments on teaching material to fmannting@bics.bwh.harvard.edu
    Feedback and technical questions to chandak@dsg.harvard.edu
    Please include URL reference with correspondence
    Initiated: Nov 19, 1995. Last updated: Apr 08, 1997.