Clinical History

This is a 43-year-old patient with high cholesterol and chest pain.

Technique

The patient was administered 21.1 millicuries of Tc-99m Cardiolite on 10-31-96, and multigated images of the myocardium were obtained. The following day, the patient was stressed on a treadmill to 93 percent of his maximal heart rate reaching a double product of 31,515 for 13 minutes. The patient was then injected with 23 millicuries of Tc-99-m Cardiolite, and SPECT images of the myocardium were obtained.

Findings

The perfusion of the myocardium appears normal. On the multigated images, there is some thinning of the apex, however, the contractility of this region appears normal. The calculated left ventricular ejection fraction is 82 percent.

Impressions

1. NO EVIDENCE OF DECREASED MYOCARDIAL PERFUSION OF MYOCARDIAL INFARCT.

2. ESTIMATED LEFT VENTRICULAR EJECTION FRACTION OF 82 PERCENT.

Comments

Click here if you would like to view a cine of the Gated SPECT perfusion display. Click here if you would like to view a cine of a Gated SPECT Quant display (Note: This is not the same patient file). These are both quicktime movie files.