WHAT IS THIS IMAGE? The value of diastole perfusion a,b,c d,e c Francesco Nudi, MD, Orazio Schillaci, MD, Alessandro Nudi, MD, and e,f Giuseppe Biondi-Zoccai, MD, MStat Service of Hybrid Cardio Imaging, Madonna della Fiducia Clinic, Rome, Italy Ostia Radiologica, Rome, Italy ETISAN, Rome, Italy Division of Nuclear Medicine, Tor Vergata University, Rome, Italy Department of AngioCardioNeurology, IRCCS Neuromed, Pozzilli, Italy Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy doi:10.1007/s12350-018-1314-8 CLINICAL HISTORY IMAGING A 68-year-old gentleman underwent stress/rest After adequate drug washout (temporary discontin- myocardial perfusion imaging (MPI) at our institution uation of metoprolol), he underwent bicycle exercise for recurrence of chest pain during exercise ECG testing. stress with administration of Tl and image acquisition He reported prior smoking, hypercholesterolemia, arte- with a cadmium-zinc-telluride (CZT) camera (Discovery rial hypertension, and obesity. His clinical history was NM 530c with Alcyone technology, GE Healthcare, signiﬁcant for ST-elevation myocardial infarction Haifa, Israel). He developed mild angina at maximum (STEMI) due to mid left anterior descending (LAD) workload of 100 Watts, but without ST-T changes. disease 6 months earlier, which had been treated with Ungated images showed the presence of moderate apical primary percutaneous coronary intervention (PCI) with necrosis
Journal of Nuclear Cardiology – Springer Journals
Published: May 31, 2018
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