Nuclear Cardiology Case: A 49-year-old woman with history of postprandial chest pain for the last 3 weeks

A 49-year-old woman with history of postprandial chest pain for the last 3 weeks. Evaluate for ischemia.
SPECT myocardial perfusion studies were performed using Tc-99m-Sestamibi. Images representing myocardial perfusion were obtained at rest and peak stress .

Stress protocol is Treadmill / Bruce
Duration of stress is 4 min 39 sec
Heart rate (basal --> peak) is 76 --> 162 (85%=145)
Systolic BP (basal --> peak) is 140 --> 170
Double product (peak rate x BP) is 27,500
Reason for termination is Dyspnea.Atypical chest pain
ECG findings are Upsloping ST depression during stress, 1 mm horizontal ST depression during recovery

Figure 1

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