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Patient 1 – Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes stress/4 minutes rest
54 year old male
- 5 foot 7 inches
- 181 lbs
- Atypical angina
- Risk factors: Family history of CAD
Images courtesy of Baptist Cardiac
& Vascular Institute |
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Patient 2 – Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes stress/4 minutes rest
63 year old male
- 5 foot 9 inches
- 191 lbs
- Atypical angina
- Risk factors: Hypertension; family history of CAD
Images courtesy of Baptist Cardiac
& Vascular Institute |
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Patient 3 – Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes stress/4 minutes rest
59 year old female
- Protocol: Tl/MIBI
- Kidney transplant evaluation
- Hx: end-stage renal disease
- Risk factors: Hypertension
Images courtesty of Cedars Sinai Medical
Center |
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Patient 4 – Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes stress/4 minutes rest
59 year old female
- Protocol: Tl/MIBI
- Atypical angina, SOB.
- Hx: coronary calcification
- Risk factors: Hypertension, hypercholesterolemia, family
Hx of CAD
Images courtesty of Cedars Sinai Medical
Center |
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Patient 5 – Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes stress/4 minutes rest
66 year old male
- Protocol: Tl/MIBI
- CAD
- Hx: Back surgery pending, CABG
- Risk factors: Hypertension, hypercholesterolemia
Images courtesty of Cedars Sinai Medical
Center |
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Patient 6 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
71 year old female
- Protocol: low dose stress/high dose rest, same day
- Risk Factors: heavy smoking, family history of IHD (father
at age 60)
- Hx: non-typical angina, positive stress test
- Tc-99m sestamibi stress/rest
- Clinical response: ischemic
- ECG response: ischemic
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Patient 7 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
44 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk factors: hypertension, hypercholesterolemia, past
smoker
- Hx: anterior. MI and PCI to LAD (7/2005)
- Sx: asymptomatic
- Tc-99m sestamibi stress/rest Gated SPECT
- Dipyridamole stress (0.56mg/Kg) combined with low level
treadmill stress
- Clinical response: non-ischemic
- ECG response: non-ischemic
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Patient 8 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
65 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk Factors: diabetes, hyperlipidemia, overweight, asthma
- Sx: non-anginal chest pain
- Protocol: Tc-99m sestamibi stress/rest Gated SPECT
- Clinical response: inconclusive
- ECG response: borderline positive
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Patient 9 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
68 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk factors: hypertension, hypercholesterolemia, VPB’s
- Hx: PCI to LCX – 100% (2005), CABG to LAD,
RCA (1994)
- Sx: asymptomatic
- Tc-99m sestamibi stress/rest Gated SPECT
- Clinical response: non-ischemic
- ECG response: non-ischemic
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Patient 10 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
48 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk factors: past smoking (2005)
- Sx: non-anginal chest pain
- Tc-99m sestamibi stress/rest Gated SPECT
- Clinical response: non-ischemic
- ECG response: non-ischemic
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Patient 11 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
77 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk Factors: diabetes, hypertension, hypercholesterolemia,
obesity family history of IHD (father at age 50), past smoker
- Hx: PCI to RCA (2005), PCI to LAD (11/2006)
- Sx: non-anginal chest pain, SOB on effort
- Tc-99m sestamibi stress/rest Gated SPECT
- Dipyridamole stress (0.56mg/Kg) combined with low level
treadmill stress
- Clinical response: ischemic
- ECG response: ischemic (1.5 mm horizontal)
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Patient 12 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
70 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk Factors: diabetes, hypercholesterolemia, PVD, overweight
- Hx: CABG (1993), PCI to LMCA and LCX (5/2005)
- Sx: non-anginal chest pain
- Tc-99m sestamibi stress/rest Gated SPECT
- Dipyridamole stress (0.56mg/Kg) combined with low level
treadmill stress
- Clinical response: ischemic
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Patient 13 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
66 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk factors: HTN
- Cardiovascular history: failed PCI to first obtuse marginal,
1997, RCA 60%, positive treadmill test
- Sx: asymptomatic
- Tc-99m sestamibi stress/rest Gated SPECT
- Clinical response: non-ischemic
- ECG response: borderline ischemic
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Patient 14 - Stress/Rest
Acquisition type: Gated SPECT
Acquisition time: 2 minutes rest/4 minutes stress
46 year old male
- Protocol: low dose stress/high dose rest, same day
- Risk factors: diabetes, family history of IHD
- Hx: PVD, CABG Aug 2006
- Sx: evaluation following hospitalization for chest pain
- Tc-99m sestamibi stress/rest Gated SPECT
- Clinical response: non-ischemic
- ECG response: non-ischemic
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Patient 15
- Stress/Rest
Acquisition
type: Thallium Study
Acquisition time: 2 minutes rest/4 minutes stress
53 year old male; BMI 25.3
- Risk factors: hypertension, family history of early CAD
- Non-anginal chest pain
- Protocol: Thallium exercise/redistribution
- Exercise duration: 9:30 minutes, MPHR 92%
- Clinical response: non-ischemic
- ECG response: non-ischemic
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