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

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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

Nuclear Cardiology
Figure 1

Nuclear Cardiology
Figure 2: labelled for easy identification

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