Special Cases
Reverse Changes
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 / Modified Bruce
    • Duration of stress
  • 9 min
    • Peak heart rate (basal --> peak)
  • 58 --> 110 (85%=119)
    		•
    Systolic BP (basal --> peak)
  • 140 --> 140
    		•
    Double product (peak rate x BP)
  • 15,400
    		•
    Reason for termination
  • Fatigue. Atypical chest pain
    • ECG findings
  • 1 mm ST depression
    		•
    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
    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.