TID with normal myocardial perfusion
Teaching Case
Case presentation:
- Male.
- 51 y.o.
- Hypertension and diabetes.
- Atypical sympotons (right are discomfort st stress).
- Echocardiography revealed LVH.
- Submitted for stress myocardial perfusion study (MPS).
Teaching points:
- Although TID is usually higher in patients with LAD ischemia or multivessel disease (MVD), it can also be found in patients with LVH or diabetes (like in this case).
- However, TID in the absence of evident perfusion abnormalities should always raise the question of balanced myocardial ischemia in the first place, which is more common in MVD.
- Exercise/rest MPS was performed with 99m-Tc-sestamibi.