Case example illustrating value of stress testing ST when rest myocardial perfusion imaging is normal in the acute chest pain patient. Shown are adenosine stress/rest myocardial perfusion single-photon emission computed tomography images in a 55-year-old man with multiple risk factors for coronary artery disease presenting to the emergency department with 2 days of chest discomfort at rest. Rest sestamibi (MIBI) demonstrated minimal (borderline) perfusion defect in the inferior wall. Stress imaging revealed evidence of severe and extensive ischemia in the inferior and inferolateral wall (41% of the left ventricle). Coronary angiography revealed an occluded right coronary artery that was successfully stented.
Read about myocardial imaging studies in context: Hurst’s the Heart, 14e: Chapter 18. Nuclear Cardiology
Read more about myocardial imaging studies:
Harrison’s Principles of Internal Medicine, 20e: Chapter 236: Noninvasive Cardiac Imaging: Echocardiography, Nuclear Cardiology, and Magnetic Resonance/Computed Tomography Imaging
Introduction to Diagnostic Radiology: Chapter 2. Introduction to Nuclear Medicine