Dear dr:
The following is the complet test we have done for my father, so please advice about my father overall condition and taking care of him.
NUCLEAR CARDIOLOGY
DEPARTMENT OF CARDIOLOGY
LADY READING HOSPITAL PESHAWAR
Tc-99m GATED MYOCARDIAL PERFUSION SPECT
(SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY)
SEX: MALE AGE: 55 Yrs Date: 04-03-2011
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Clinical History: patient is known case CAD. History of STEMI. Presented with chest pain and SOB on exertion. Echo (27-07-2010) Regional wall motion abnormalities, LV dysfunction (FS-17%). C.Angio (18-02-2011) : LAD: this vessel has Osteal to proximal 20-30% lesion and then totally occluded, RCA: fills LAD retrogradly.
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Protocol REST STUDY PROTOCOL WITH NITRATE FOR VIABILITY
Procedure patient was administered sublingual nitroglycerine followed by 25mCi (925 MBq) of Tc-99m
MIBI injected intravenously. Gated SPECT imaging was done one hour later.
Findings
Gated SPECT Overall quality of the study is good. There is evidence of marked left ventricular cavity
dilatation.
SPECT images demonstrate absent to severely reduced tracer uptake in apex (anteroapical and
inferoapical), anterior (apical and mid), anteroseptal (apical, mid and basal), inferoseptal (apical, mid and
basal), apical inferior, apical inferolateral and apical anterolateral segments.
There is moderately reduced tracer uptake in basal anterior and inferior (mid and basal) segments.
Rest of the myocardial segments show good tracer uptake.
GATED IMAGES Decreased wall thickness in apex, septum, apical ½ of anterior and apical 1/3 of inferior and
lateral walls. Akinesia of apex, septum, apical 1/3 of anterior, inferior and lateral walls. Rest of
anterior and inferior walls are hypokinetic.
LVEF: 30% EDV: 177ml. ESV: 124ml.
IMPRESSION:
• large transmural infarct (scar myocardium) involving apex , apical ½ of anterior wall, septum and all
other apical segments.
• Marked LV cavity dilatation.
• Myocardial viable territories:
LAD: 1/10 (10%)
LCX: 4/6 (67%)
RCA: 2/4 (50%)
The doctor administrated the following medicines
1- PROGREL - AP one tablet per day
2- NICOGET tow tablet per day
3- LASORIDE 10 mg one tablet per day
4- RAST 10 mg one tablet per day
5- CORBIS 2.5 mg one tablet per day
thaks in advance.