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EXERCISE MYOCARDIAL PERFUSION STRESS TEST

Patient Name: Gender: Male Date of Study: Click here to enter a date.
Date of Birth: Patient ID: Referring Physician: .
Technologist: Choose an item. Indication: Chest pain .

Myocardial Perfusion Technique:


After obtaining informed consent, Patient was injected intravenously with millicuries of Tc99MMyoview and
resting myocardial perfusion scan was obtained. Images were acquired in supine position and reconstructed in 3D
and gated SPECT tomograms in short axis, horizontal and vertical long axes. Patient was exercised according to the
Bruce protocol on the same day according to one day protocol and at peak exercise millicuries of Tc99M
Myoview was injected. Stress myocardial perfusion scan was obtained 20 min after the peak stress injection and
images reconstructed again in 3D and gated SPECT tomogram configurations. The scans were checked for motion
artifacts and rest and stress tomograms were compared for any stress induced ischemia. Wall motion cine
reconstructed pictures were reviewed for Ejection fraction and wall motion abnormalities.
Rest Parameters Stress Parameters
Chest pain None None
Blood pressure (mm Hg)
Heart Rate (bpm) % MPHR (Max)
ECG (rhythm) Normal sinus rhythm Normal sinus rhythm
ECG (conduction) Normal Normal
ECG (arrhythmia) None None
ECG (repolarization) Normal Normal
Reason for termination: Target HR achieved. Stress induced ST changes: Normal

RESULTS:
1. Negative ECG response to min of exercise at Bruce Protocol
2. Adequate Exercise capacity
3. No stress induced reversibility is noted -. .
4. Normal LV systolic function with EF of % with normal wall motion.
5. No LV dilatation seen
6. No chest pain or arrythmias noted
7. No previous stress test to compare with
8. Technically adequate study

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Signed electronically on Click here to enter a date.


Khalid H. Ashai, MD, FACC