Nuclear Cardiology Case 0: A 64-year-old man with history of chest pain, to be evaluated for ischemia

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Nuclear Cardiology case
Figure 1

A 64-year-old man with history of chest pain, to be evaluated for ischemia. SPECT myocardial perfusion studies were performed using Tc-99m-Sestamibi. The above images represent myocardial perfusion were obtained at rest and peak stress.
  • Stress protocol is Treadmill / Bruce
  • Duration of stress is 4 min
  • Peak heart rate (85%) is 90 --> 143 (85%=132)
  • Systolic BP (basal --> peak) is 150 --> 160
  • Double product (peak rate x BP) is 22,900
  • Reason for termination is  Dyspnea and pain
  • ECG findings are ST-T abnormality at rest, No additional changes.

Nuclear Cardiology images
Figure 2 - For more clarification

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