Multi-Vessel Diseases
Left Main Disease
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
  • 4 min 21 sec
    • Peak heart rate (85%)
  • 87 --> 120 (85%=164)
    		•
    Systolic BP (basal --> peak)
  • 110 --> 110
    		•
    Double product (peak rate x BP)
  • 13,200
    		•
    Reason for termination
  • Typical chest pain (10/10)
    • ECG findings
  • Left anterior hemi-block (LAH)
  • 1 mm ST depression in recovery
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    FINDINGS
    IMPRESSION
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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.