Increased lung uptake on exercise Tl-201 SPECT may reflect more than extent of myocardial ischemia
✍ Scribed by Jabour Khoury; Jacqueline Jerushalmi; Norman Loberant; Nathan Roguin; Marc Brezins
- Publisher
- Springer
- Year
- 2003
- Tongue
- English
- Weight
- 121 KB
- Volume
- 10
- Category
- Article
- ISSN
- 1071-3581
No coin nor oath required. For personal study only.
✦ Synopsis
Case history. A 57-year-old man with known coronary artery disease and prior diaphragmatic myocardial infarction had undergone percutaneous transfemoral coronary angioplasty and stent implantation in the right coronary artery (RCA). Six months later, he underwent repeat percutaneous transfemoral coronary angioplasty and stent insertion in the left anterior descending artery for a mid-left anterior descending artery lesion.
Two months later, he had recurrent symptoms of chest discomfort and exertional dyspnea. Myocardial perfusion scintigraphy was ordered to evaluate possible recurrent ischemia. The patient had no hypertension, valvulopathy, or history of tobacco abuse. No murmur was detected on cardiac auscultation.