Tc-99m Tetrofosmin Myocardial SPECT Combined With a Modified Exercise Protocol in an Unusual Case of Steal Phenomenon
A 61-year-old diabetic woman was referred for myocardial perfusion single photon emission computed tomographic (SPECT) imaging 4 years after coronary artery bypass grafting to the left anterior descending (LAD) artery using a left internal mammary artery (LIMA) graft. She had 3 months’ angina associ...
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| Veröffentlicht in: | Clinical nuclear medicine 2003-09, Vol.28 (9), p.762-763 |
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| creator | Georgoulias, Panagiotis Demakopoulos, Nikolaos Xaplanteris, Petros Mortzos, Georgios |
| description | A 61-year-old diabetic woman was referred for myocardial perfusion single photon emission computed tomographic (SPECT) imaging 4 years after coronary artery bypass grafting to the left anterior descending (LAD) artery using a left internal mammary artery (LIMA) graft. She had 3 months’ angina associated with fatigue of her left upper extremity (the patient is left-handed). Stress myocardial imaging using a Bruce protocol did not exhibit significant myocardial ischemia, but because of her typical angina symptoms, she underwent repeat stress myocardial imaging in combination with exercise of her left arm. During the aforementioned modified stress protocol, the patient reported angina, and radionuclide perfusion imaging showed extensive myocardial ischemia. The patient underwent coronary angiography and arteriography of the left subclavian artery, which revealed severe stenosis before the origin of the LIMA, resulting in reversed blood flow from the LAD artery through the LIMA graft to the left subclavian artery. |
| doi_str_mv | 10.1097/01.rlu.0000082667.15159.75 |
| format | Article |
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She had 3 months’ angina associated with fatigue of her left upper extremity (the patient is left-handed). Stress myocardial imaging using a Bruce protocol did not exhibit significant myocardial ischemia, but because of her typical angina symptoms, she underwent repeat stress myocardial imaging in combination with exercise of her left arm. During the aforementioned modified stress protocol, the patient reported angina, and radionuclide perfusion imaging showed extensive myocardial ischemia. The patient underwent coronary angiography and arteriography of the left subclavian artery, which revealed severe stenosis before the origin of the LIMA, resulting in reversed blood flow from the LAD artery through the LIMA graft to the left subclavian artery.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/01.rlu.0000082667.15159.75</identifier><identifier>PMID: 12973001</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott Williams & Wilkins, Inc</publisher><subject>Biological and medical sciences ; Exercise Test ; Female ; Humans ; Internal Mammary-Coronary Artery Anastomosis ; Medical sciences ; Middle Aged ; Organophosphorus Compounds ; Organotechnetium Compounds ; Postoperative Complications - diagnostic imaging ; Radiopharmaceuticals ; Subclavian Steal Syndrome - diagnostic imaging ; Tomography, Emission-Computed, Single-Photon</subject><ispartof>Clinical nuclear medicine, 2003-09, Vol.28 (9), p.762-763</ispartof><rights>2003 Lippincott Williams & Wilkins, Inc.</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3331-20b69a02702809bc49b5fedf128f6c94c4c91091d6c01140b3b36df611c41d183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15096695$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12973001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Georgoulias, Panagiotis</creatorcontrib><creatorcontrib>Demakopoulos, Nikolaos</creatorcontrib><creatorcontrib>Xaplanteris, Petros</creatorcontrib><creatorcontrib>Mortzos, Georgios</creatorcontrib><title>Tc-99m Tetrofosmin Myocardial SPECT Combined With a Modified Exercise Protocol in an Unusual Case of Steal Phenomenon</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>A 61-year-old diabetic woman was referred for myocardial perfusion single photon emission computed tomographic (SPECT) imaging 4 years after coronary artery bypass grafting to the left anterior descending (LAD) artery using a left internal mammary artery (LIMA) graft. She had 3 months’ angina associated with fatigue of her left upper extremity (the patient is left-handed). Stress myocardial imaging using a Bruce protocol did not exhibit significant myocardial ischemia, but because of her typical angina symptoms, she underwent repeat stress myocardial imaging in combination with exercise of her left arm. During the aforementioned modified stress protocol, the patient reported angina, and radionuclide perfusion imaging showed extensive myocardial ischemia. The patient underwent coronary angiography and arteriography of the left subclavian artery, which revealed severe stenosis before the origin of the LIMA, resulting in reversed blood flow from the LAD artery through the LIMA graft to the left subclavian artery.</description><subject>Biological and medical sciences</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Mammary-Coronary Artery Anastomosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Organophosphorus Compounds</subject><subject>Organotechnetium Compounds</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Radiopharmaceuticals</subject><subject>Subclavian Steal Syndrome - diagnostic imaging</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkGFr2zAQhsXYWNNuf2GIwfrNnk6y5Wjfhsm6QcsCTdlHIcsS0WZbnWTT9d_v0gRycBwv97538BDyEVgJTDWfGZRpWEp2qDWXsimhhlqVTf2KrKAWsmCcq9dkxYQUhWokvyCXOf9mDCTI6i25AK4agXJFlp0tlBrpzs0p-pjHMNG752hN6oMZ6P120-5oG8cuTK6nv8K8p4bexT74gHrzzyUbsqPbFOdo40Axbib6MC15wXhrcBc9vZ8dqu3eTXHEnt6RN94M2b0_zSvy8G2za78Xtz9vfrRfbwsrhICCs04qw3jD-Jqpzlaqq73rPfC1l1ZVtrIKiUAvLQOoWCc6IXsvAWwFPazFFbk-3n1M8e_i8qzHkK0bBjO5uGTdICAlRYXGL0ejTTHn5Lx-TGE06VkD0wfomoFG6PoMXb9A102N4Q-nL0s3uv4cPVFGw6eTwWRrBp_MhNTOvpopKdXhUHX0PcVhdin_GZYnl_Qe4c37l9eCNRyx4FSoCmwA8R-LVZmq</recordid><startdate>200309</startdate><enddate>200309</enddate><creator>Georgoulias, Panagiotis</creator><creator>Demakopoulos, Nikolaos</creator><creator>Xaplanteris, Petros</creator><creator>Mortzos, Georgios</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200309</creationdate><title>Tc-99m Tetrofosmin Myocardial SPECT Combined With a Modified Exercise Protocol in an Unusual Case of Steal Phenomenon</title><author>Georgoulias, Panagiotis ; Demakopoulos, Nikolaos ; Xaplanteris, Petros ; Mortzos, Georgios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3331-20b69a02702809bc49b5fedf128f6c94c4c91091d6c01140b3b36df611c41d183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Mammary-Coronary Artery Anastomosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Organophosphorus Compounds</topic><topic>Organotechnetium Compounds</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Radiopharmaceuticals</topic><topic>Subclavian Steal Syndrome - diagnostic imaging</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Georgoulias, Panagiotis</creatorcontrib><creatorcontrib>Demakopoulos, Nikolaos</creatorcontrib><creatorcontrib>Xaplanteris, Petros</creatorcontrib><creatorcontrib>Mortzos, Georgios</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Georgoulias, Panagiotis</au><au>Demakopoulos, Nikolaos</au><au>Xaplanteris, Petros</au><au>Mortzos, Georgios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tc-99m Tetrofosmin Myocardial SPECT Combined With a Modified Exercise Protocol in an Unusual Case of Steal Phenomenon</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>2003-09</date><risdate>2003</risdate><volume>28</volume><issue>9</issue><spage>762</spage><epage>763</epage><pages>762-763</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>A 61-year-old diabetic woman was referred for myocardial perfusion single photon emission computed tomographic (SPECT) imaging 4 years after coronary artery bypass grafting to the left anterior descending (LAD) artery using a left internal mammary artery (LIMA) graft. 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| ispartof | Clinical nuclear medicine, 2003-09, Vol.28 (9), p.762-763 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Exercise Test Female Humans Internal Mammary-Coronary Artery Anastomosis Medical sciences Middle Aged Organophosphorus Compounds Organotechnetium Compounds Postoperative Complications - diagnostic imaging Radiopharmaceuticals Subclavian Steal Syndrome - diagnostic imaging Tomography, Emission-Computed, Single-Photon |
| title | Tc-99m Tetrofosmin Myocardial SPECT Combined With a Modified Exercise Protocol in an Unusual Case of Steal Phenomenon |
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