Case 3 A 60-year-old woman was referred for SPECT MPI for evaluation of chest pain. The chest pain description was consistent with atypical angina. Her coronary risk factors included hyperlipidemia, hypertension, and a family history of premature coronary artery disease (CAD). Resting ECG was normal. According to published appropriateness criteria, stress MPI would be appropriate (median score = 7) in a patient with chest pain, an interpretable ECG, and an intermediate pretest probability of CAD based on presenting symptoms, age, and gender. Exercise Data She exercised to a maximal workload of 10 METs, achieving a peak heart rate of 150 beats/min (94% of maximum age-predicted heart rate). No chest pain was reported during exercise, and the blood pressure and ECG responses were normal. SPECT Images SPECT MPI demonstrated normal uniform uptake of 99mTc-sestamibi in all myocardial regions. Gated SPECT demonstrated normal myocardial systolic thickening in all myocardial regions, with a computed left ventricular ejection fraction (LVEF) of 63%. Clinical Questions 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: Attenuation/Scatter/Resolution Correction: Physics Aspects 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 3 Full access? Get Clinical Tree
Case 3 A 60-year-old woman was referred for SPECT MPI for evaluation of chest pain. The chest pain description was consistent with atypical angina. Her coronary risk factors included hyperlipidemia, hypertension, and a family history of premature coronary artery disease (CAD). Resting ECG was normal. According to published appropriateness criteria, stress MPI would be appropriate (median score = 7) in a patient with chest pain, an interpretable ECG, and an intermediate pretest probability of CAD based on presenting symptoms, age, and gender. Exercise Data She exercised to a maximal workload of 10 METs, achieving a peak heart rate of 150 beats/min (94% of maximum age-predicted heart rate). No chest pain was reported during exercise, and the blood pressure and ECG responses were normal. SPECT Images SPECT MPI demonstrated normal uniform uptake of 99mTc-sestamibi in all myocardial regions. Gated SPECT demonstrated normal myocardial systolic thickening in all myocardial regions, with a computed left ventricular ejection fraction (LVEF) of 63%. Clinical Questions 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: Attenuation/Scatter/Resolution Correction: Physics Aspects 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 3 Full access? Get Clinical Tree
