EXAM: NUCLEAR STRESS TEST- DUAL ISOTOPE
METHOD: The patient was administered 3 mCi of Thallium 201 Chloride and a routine SPECT rest study was performed. The patient was subsequently exercised using the standard Bruce protocol until at least 85% of MPHR was achieved. The patient was then administered 30mCi of Tc99m Myoview at peak stress. Dynamic gated SPECT stress imaging was performed with computer-assisted quantitation of myocardial motion and thickening. Patient exercised for a total of 5 minutes and 30 seconds attaining maximum heart rate of 136 bpm, which represents 93% of the maximum predicted heart rate. Peak workload was 7.0 METS. Maximal blood pressure was 180/85.
FINDINGS: There is mild decreased perfusion identified at the anteroseptal wall at stress which demonstrates normal perfusion at rest. In addition, there is mild to moderate decreased perfusion along inferolateral wall at stress which demonstrates normal perfusion at rest. These findings are likely related to ischemia. Remainder of the myocardia is well perfused with no transient dilatation.
SPECT LVEF: Normal at 53%
IMPRESSION: Suggestive of mild anteroseptal and mild to moderate inferolateral wall ischemia.
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