Case 26 A 49-year-old African American woman with hypertension, hyperlipidemia, and smoking suffered from an anterior wall myocardial infarction (MI). She was transferred from a small community hospital and presented to our hospital via MedEvac. She underwent urgent cath, which showed large left anterior descending (LAD) with a large diagonal branch that was completely occluded in the mid-part. The occluded LAD was opened and stented, with no residual lesion. The left circumflex (LCX) was a small nondominant vessel with 50% lesion in the mid-vessel. The right coronary artery (RCA) was also a medium-caliber vessel, with a focal 80% lesion in the mid-segment, followed by 50% narrowing. The LCX and RCA were not angioplastied. She recovered from her MI and was referred for adenosine stress and rest myocardial perfusion imaging 6 weeks later to determine whether she needs revascularization of the RCA lesion. Medications: lisinopril, Coreg, aldactone, Lipitor, iron, aspirin, and Plavix. Results of the 5-minute adenosine infusion were changes in heart rate from 68 to 80 beats/min and blood pressure from 151/100 to 135/85 mm Hg. No chest pain was reported. 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 6 Myocardial Perfusion Imaging with Contrast Echocardiography 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 26 Full access? Get Clinical Tree
Case 26 A 49-year-old African American woman with hypertension, hyperlipidemia, and smoking suffered from an anterior wall myocardial infarction (MI). She was transferred from a small community hospital and presented to our hospital via MedEvac. She underwent urgent cath, which showed large left anterior descending (LAD) with a large diagonal branch that was completely occluded in the mid-part. The occluded LAD was opened and stented, with no residual lesion. The left circumflex (LCX) was a small nondominant vessel with 50% lesion in the mid-vessel. The right coronary artery (RCA) was also a medium-caliber vessel, with a focal 80% lesion in the mid-segment, followed by 50% narrowing. The LCX and RCA were not angioplastied. She recovered from her MI and was referred for adenosine stress and rest myocardial perfusion imaging 6 weeks later to determine whether she needs revascularization of the RCA lesion. Medications: lisinopril, Coreg, aldactone, Lipitor, iron, aspirin, and Plavix. Results of the 5-minute adenosine infusion were changes in heart rate from 68 to 80 beats/min and blood pressure from 151/100 to 135/85 mm Hg. No chest pain was reported. 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 6 Myocardial Perfusion Imaging with Contrast Echocardiography Digital/Fast SPECT: Systems and Software Stay updated, free articles. Join our Telegram channel Join
