Negative Ischemia

Discovery NM 530c Negative Ischemia Case Study

Case Study: Negative Ischemia

Patient:
68 Y/O female
BMI: 31.2

Medical History:
R/O CAD HTN, Dyslipdemia, DM

Procedure:
Low dose rest / high dose stress
Stress type: Exercise
Positive ECG

Diagnosis:
No ischemia





Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel

Ischemia

Discovery NM 530c Ischemia Case Study

Case Study: Ischemia

Patient:
63 Y/O male
BMI: 36

Medical History:
Evaluate known CAD,m HTN, Dyslipidemia, CABG

Procedure:
Low dose rest / high dose stress
Stress type: Exercise
Abnormal ECG

Diagnosis:
Lateral wall ischemia
55% ejection fraction




Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel

Thallium

Discovery NM 530c Thallium Case Study

Case Study: Thallium- Negative for Ischemia

Patient:
59 Y/O male

Medical History:
H/O smoking, Dyslipidemia, positive treadmill test
Evaluate for ischemia

Procedure:
Bruce protocol 9 minutes, 28 seconds. Peak HR 153 BPM (85% max)
124.6 MBq (3.67 mCi) Tl201

Diagnosis:
Normal EF (65%), LV size and wall motion
No significant ischemia











Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel

Dual Isotope

Discovery NM 530c Abnormal Dual Isotope Case Study

Case Study: Dual Isotope- Abnormal

Patient:
67 Y/O male

Medical History:
202 lbs
CAD, anterior wall MI, Stent, Hyperlipidemia
Evaluate for ischemia

Procedure:
Modified Bruce protocol 7 minutes, 40 seconds. 12.8 METS. Peak HR 139 BPM(91% max).
No Significant ST depression
Stress: 22.7 mCi Tc99m Sestamibi
Rest: 2.84 mCi Tl201

Diagnosis:
Abnormal perfusion pattern. Antero-apical and distal septal infarct with reduced LV Function, Abnormal EF (37%)








Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel

Prone Stress

Discovery NM 530c Prone Stress Case Study

Case Study: Prone Stress- Reversible Diaphragm Attenuation

Patient:
44 Y/O male
Weight: 97.5kg (215lbs)

Medical History:
No complaints
Had abnormal baseline EKG, smoker, overweight, family history of CAD

Procedure:
One Day Reverse Protocol

Discovery NM 530c Prone Stress Case Study

Results:
Inferior wall defect on stress images 
Prone images are normal
Indeterminate EKG stress test due to baseline EKG abnormalities
and normal images

Diagnosis:
Normal with Inferior wall diaphragmatic attenuation


Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel