Case 30 A 61-year-old overweight male (6 feet tall, weight 280 pounds) presented with a history of progressively worsening shortness of breath over the last month. At admission, he was found to be in atrial fibrillation. He had a remote history of smoking and recent heavy drinking. He was referred for a pharmacologic stress test. He was taking heparin, aspirin, and digoxin. He underwent 2-day imaging protocol because of his overweight. Rest imaging was done on the first day, using 30 mCi of technetium-99-sestamibi. He underwent pharmacologic stress using 5-minute adenosine infusion protocol on the second day. His heart rate changed from 101 to 89 beats/min and blood pressure from 178/100 to 189/100. He did not complain of chest pain. His ECG showed atrial fibrillation, left axis deviation, and nonspecific T-wave flattening. There was no further change with adenosine infusion. 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 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 30 Full access? Get Clinical Tree
Case 30 A 61-year-old overweight male (6 feet tall, weight 280 pounds) presented with a history of progressively worsening shortness of breath over the last month. At admission, he was found to be in atrial fibrillation. He had a remote history of smoking and recent heavy drinking. He was referred for a pharmacologic stress test. He was taking heparin, aspirin, and digoxin. He underwent 2-day imaging protocol because of his overweight. Rest imaging was done on the first day, using 30 mCi of technetium-99-sestamibi. He underwent pharmacologic stress using 5-minute adenosine infusion protocol on the second day. His heart rate changed from 101 to 89 beats/min and blood pressure from 178/100 to 189/100. He did not complain of chest pain. His ECG showed atrial fibrillation, left axis deviation, and nonspecific T-wave flattening. There was no further change with adenosine infusion. 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 18 Digital/Fast SPECT: Systems and Software Stay updated, free articles. Join our Telegram channel Join
