History of MI and PTCA/stent and recurrent chest pain
Teaching Case
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.