History of MI and PTCA/stent and recurrent chest pain

Case presentation:

• Female.
• 61 y.o.
• 168cm Ht.
• 86kg Weight.
• CABG in1993 for TVD.
• Acute MI 8/12 before scan, PTCA/Stent.
• CAD risk: family history, hyperlipidemia, diabetes mellitus, hypertension.
• Study: Dipyridamole/ Thallium for recurrent chest pain.

Teaching points:

• In patients with previous CABG or PTCA, recurrent chest pain is an indication for myocardial perfusion imaging (MPI).
• The test can be useful to detect presence and severity of ischemia, as well as to identify the culprit vessel.
• Often, extension and severity of perfusion defects largely exceed abnormal ECG findings.