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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)