Reverse Perfusion Pattern of Tc-99m MIBI Heralding the Development of Myocardial Infarction
In a patient with sporadic atypical chest pain associated with dyspnea, stress Tc-99m MIBI imaging showed normal perfusion and inferoposterior hypoperfusion on the resting study. Although this reverse perfusion pattern was considered artifactual, the patient later had an acute myocardial infarction...
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Veröffentlicht in: | Clinical nuclear medicine 1996-07, Vol.21 (7), p.519-522 |
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container_title | Clinical nuclear medicine |
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creator | FRAGASSO, GABRIELE CHIERCHIA, SERGIO L DOSIO, FLAVIANO PIZZETTI, GIUSEPPE GIANOLLI, LUIGI FAZIO, FERRUCCIO |
description | In a patient with sporadic atypical chest pain associated with dyspnea, stress Tc-99m MIBI imaging showed normal perfusion and inferoposterior hypoperfusion on the resting study. Although this reverse perfusion pattern was considered artifactual, the patient later had an acute myocardial infarction involving the same areas. Postinfarction stress Tc-99m MIBI imaging showed a nonreversible defect in the same area that, in the earlier study, showed a reverse perfusion pattern. The authors hypothesize that partial stenosis of the related artery with some nontransmural myocardial necrosis at the time of the initial study may be a possible cause of this peculiar Tc-99m MIBI perfusion pattern. |
doi_str_mv | 10.1097/00003072-199607000-00001 |
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Although this reverse perfusion pattern was considered artifactual, the patient later had an acute myocardial infarction involving the same areas. Postinfarction stress Tc-99m MIBI imaging showed a nonreversible defect in the same area that, in the earlier study, showed a reverse perfusion pattern. The authors hypothesize that partial stenosis of the related artery with some nontransmural myocardial necrosis at the time of the initial study may be a possible cause of this peculiar Tc-99m MIBI perfusion pattern.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-199607000-00001</identifier><identifier>PMID: 8818461</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott-Raven Publishers</publisher><subject>Aged ; Biological and medical sciences ; Cardiology. 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Although this reverse perfusion pattern was considered artifactual, the patient later had an acute myocardial infarction involving the same areas. Postinfarction stress Tc-99m MIBI imaging showed a nonreversible defect in the same area that, in the earlier study, showed a reverse perfusion pattern. The authors hypothesize that partial stenosis of the related artery with some nontransmural myocardial necrosis at the time of the initial study may be a possible cause of this peculiar Tc-99m MIBI perfusion pattern.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary heart disease</subject><subject>Heart</subject><subject>Heart - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Technetium Tc 99m Sestamibi</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhq2qqF1afkIlH1BvAX-tYx-hBbpSKyrUnjhYE2fcDTjJYidU_fd42WVv2AfLM887lh4TQjl7x5mt37OyJKtFxa3VrC63alviR2TBl1JXTAh7TBZMalnZWotT8jrnHwXQXKsTcmIMN0rzBfn-DX9jykjvMYU5d-NA72GaMA10DPTBV9b29G71cUVvMEFsu-GJTmuk1yUWx02Pw7QF715GD6ntINLVECD5qUw6J68CxIxv9ucZefz86eHqprr9-mV19eG28tIoXkEtVStUG5AzH5pWa9lqWTMbzFJoqW2jfKOtAhSGg2qUYV5oAARumxqDPCOXu7mbNP6aMU-u77LHGGHAcc6uNnJZtiqg2YE-jTknDG6Tuh7Si-PMbb26f17dwevfEi_Ri_0bc9NjewjuRZb-230fsocYEgy-ywdMci20EgVTO-x5jEVy_hnnZ0xujRCntfvfr8o_MR6OgA</recordid><startdate>199607</startdate><enddate>199607</enddate><creator>FRAGASSO, GABRIELE</creator><creator>CHIERCHIA, SERGIO L</creator><creator>DOSIO, FLAVIANO</creator><creator>PIZZETTI, GIUSEPPE</creator><creator>GIANOLLI, LUIGI</creator><creator>FAZIO, FERRUCCIO</creator><general>Lippincott-Raven Publishers</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>199607</creationdate><title>Reverse Perfusion Pattern of Tc-99m MIBI Heralding the Development of Myocardial Infarction</title><author>FRAGASSO, GABRIELE ; CHIERCHIA, SERGIO L ; DOSIO, FLAVIANO ; PIZZETTI, GIUSEPPE ; GIANOLLI, LUIGI ; FAZIO, FERRUCCIO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3841-a734d24dfe10cfbd663d63709f8526369b4cb694ae281a4b480c26aaea19b7ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Angiography</topic><topic>Coronary Disease - diagnostic imaging</topic><topic>Coronary heart disease</topic><topic>Heart</topic><topic>Heart - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Technetium Tc 99m Sestamibi</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRAGASSO, GABRIELE</creatorcontrib><creatorcontrib>CHIERCHIA, SERGIO L</creatorcontrib><creatorcontrib>DOSIO, FLAVIANO</creatorcontrib><creatorcontrib>PIZZETTI, GIUSEPPE</creatorcontrib><creatorcontrib>GIANOLLI, LUIGI</creatorcontrib><creatorcontrib>FAZIO, FERRUCCIO</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>FRAGASSO, GABRIELE</au><au>CHIERCHIA, SERGIO L</au><au>DOSIO, FLAVIANO</au><au>PIZZETTI, GIUSEPPE</au><au>GIANOLLI, LUIGI</au><au>FAZIO, FERRUCCIO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reverse Perfusion Pattern of Tc-99m MIBI Heralding the Development of Myocardial Infarction</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1996-07</date><risdate>1996</risdate><volume>21</volume><issue>7</issue><spage>519</spage><epage>522</epage><pages>519-522</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>In a patient with sporadic atypical chest pain associated with dyspnea, stress Tc-99m MIBI imaging showed normal perfusion and inferoposterior hypoperfusion on the resting study. Although this reverse perfusion pattern was considered artifactual, the patient later had an acute myocardial infarction involving the same areas. Postinfarction stress Tc-99m MIBI imaging showed a nonreversible defect in the same area that, in the earlier study, showed a reverse perfusion pattern. The authors hypothesize that partial stenosis of the related artery with some nontransmural myocardial necrosis at the time of the initial study may be a possible cause of this peculiar Tc-99m MIBI perfusion pattern.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8818461</pmid><doi>10.1097/00003072-199607000-00001</doi><tpages>4</tpages></addata></record> |
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subjects | Aged Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary Disease - diagnostic imaging Coronary heart disease Heart Heart - diagnostic imaging Humans Male Medical sciences Myocardial Infarction - diagnosis Myocardial Infarction - diagnostic imaging Technetium Tc 99m Sestamibi Tomography, Emission-Computed, Single-Photon |
title | Reverse Perfusion Pattern of Tc-99m MIBI Heralding the Development of Myocardial Infarction |
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