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
Hauptverfasser: FRAGASSO, GABRIELE, CHIERCHIA, SERGIO L, DOSIO, FLAVIANO, PIZZETTI, GIUSEPPE, GIANOLLI, LUIGI, FAZIO, FERRUCCIO
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container_end_page 522
container_issue 7
container_start_page 519
container_title Clinical nuclear medicine
container_volume 21
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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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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