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CURRICULUM IN CARDIOLOGY - IMAGES
Year : 2016  |  Volume : 2  |  Issue : 2  |  Page : 126-127

Nuclear cardiology quiz


Department of Nuclear Medicine, All Institute of Medical Sciences, New Delhi, India

Date of Web Publication7-Oct-2016

Correspondence Address:
Abhishek Behera
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-5414.191532

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How to cite this article:
Behera A, Yadav D, Singhal A, Patel C. Nuclear cardiology quiz. J Pract Cardiovasc Sci 2016;2:126-7

How to cite this URL:
Behera A, Yadav D, Singhal A, Patel C. Nuclear cardiology quiz. J Pract Cardiovasc Sci [serial online] 2016 [cited 2021 Aug 3];2:126-7. Available from: https://www.j-pcs.org/text.asp?2016/2/2/126/191532


  Question Top


Please read the patient history and then interpret the images.

  • Patient is a 67-year-old male, known hypertensive, diabetic, nonsmoker, with no family history of heart disease
  • He presented with complaints of dyspnea on exertion for the last 2 months
  • He was referred for stress-rest thallium-201 myocardial perfusion single-photon emission computed tomography [Figure 1].
Figure 1: Stress thallium image.

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  Answer Top


  • Stress images demonstrate hypoperfused anteroseptal wall, septum, apex (marked with thick white arrows), and inferior wall (marked with thin white arrows). Rest images demonstrate marked improvement in all the above-mentioned perfusion defects. These findings signify stress-induced ischemia in the anteroseptal wall, septum, apex, and inferior wall [Figure 2].
  • In addition, poststress planar images [Figure 3] demonstrate uptake in the lungs (marked with red arrow). Furthermore, there is transient ischemic dilation (left ventricular cavity size appearing larger on stress images compared to rest images), suggestive of subendocardial ischemia. Both these findings may be indicative of multivessel involvement.
Figure 2: Stress image (answer).

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Figure 3: Transient ischemic dilation.

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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