Myocardial perfusion imaging with Tc-99m Sestamibi after exercise
revealed no scintigraphic evidence of hemodynamically significant
ischemia. Medium-sized, mid to basal inferior wall
mild-to-moderate mostly fixed perfusion deficit, except for an
artifactual reversibility most likely due to the significant
overlapping subdiaphragmatic extracardiac activity on the rest
images. Mild fixed perfusion deficit in the distal
anterior/anteroapical wall. Mildly enlarged left ventricle. Mild
global hypokinesis, with moderate hypokinesis of the inferior and
apical walls. Mildly low resting left ventricular ejection
fraction of 45% and post-stress LVEF of 51%. Suboptimal study as
above.
