Case 13 A 74-year-old man with hypertension and diabetes was referred for preoperative assessment prior to bladder surgery. He reports a “normal” stress test 14 years ago. He describes severely reduced functional capacity (<4 METs), but he denies angina. Dipyridamole PET MPI was requested for preoperative risk assessment. 12-Lead ECG The baseline ECG demonstrates normal sinus rhythm, right bundle branch block, and left anterior fascicular block. PET Images The peak stress PET images demonstrate a mild defect in the apical region. Mild defect reversibility is evident on resting images, suggestive of ischemia. Also note that the left ventricular cavity is much larger on peak stress images compared to resting images, with a computed stress/rest left ventricular cavity ratio (SRLVCR) of 1.39. Quantitative Polar Map Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Cardiac Neurotransmission Imaging: Single-Photon Emission Computed Tomography 11 18 Digital/Fast SPECT: Systems and Software Stay updated, free articles. Join our Telegram channel Join Tags: Clinical Nuclear Cardiology State of the Art and Future Direction Jun 11, 2016 | Posted by admin in CARDIOLOGY | Comments Off on 13 Full access? Get Clinical Tree
Case 13 A 74-year-old man with hypertension and diabetes was referred for preoperative assessment prior to bladder surgery. He reports a “normal” stress test 14 years ago. He describes severely reduced functional capacity (<4 METs), but he denies angina. Dipyridamole PET MPI was requested for preoperative risk assessment. 12-Lead ECG The baseline ECG demonstrates normal sinus rhythm, right bundle branch block, and left anterior fascicular block. PET Images The peak stress PET images demonstrate a mild defect in the apical region. Mild defect reversibility is evident on resting images, suggestive of ischemia. Also note that the left ventricular cavity is much larger on peak stress images compared to resting images, with a computed stress/rest left ventricular cavity ratio (SRLVCR) of 1.39. Quantitative Polar Map Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Cardiac Neurotransmission Imaging: Single-Photon Emission Computed Tomography 11 18 Digital/Fast SPECT: Systems and Software Stay updated, free articles. Join our Telegram channel Join Tags: Clinical Nuclear Cardiology State of the Art and Future Direction Jun 11, 2016 | Posted by admin in CARDIOLOGY | Comments Off on 13 Full access? Get Clinical Tree
