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Dipyridamole-induced STEMI: case report and review of the literature

Dipyridamole nuclear myocardial perfusion imaging is a safe and useful modality for assessing myocardial ischemia. It is the modality of choice for cardiac risk stratification in patients who are unable to exercise. Intravenous dipyridamole causes coronary vasodilation and may result in heterogeneit...

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Autores principales: Hennawi, Hussam Al, Lakhani, Sunita, Khan, Shayan Iqbal, Atam, Sarin, Sadiq, Usama, Rigotti, Joseph, Nair, Abhinav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Magdi Yacoub Heart Foundation 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10422870/
https://www.ncbi.nlm.nih.gov/pubmed/37575290
http://dx.doi.org/10.21542/gcsp.2023.23
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author Hennawi, Hussam Al
Lakhani, Sunita
Khan, Shayan Iqbal
Atam, Sarin
Sadiq, Usama
Rigotti, Joseph
Nair, Abhinav
author_facet Hennawi, Hussam Al
Lakhani, Sunita
Khan, Shayan Iqbal
Atam, Sarin
Sadiq, Usama
Rigotti, Joseph
Nair, Abhinav
author_sort Hennawi, Hussam Al
collection PubMed
description Dipyridamole nuclear myocardial perfusion imaging is a safe and useful modality for assessing myocardial ischemia. It is the modality of choice for cardiac risk stratification in patients who are unable to exercise. Intravenous dipyridamole causes coronary vasodilation and may result in heterogeneity of coronary blood flow in significant coronary artery disease. Ischemic electrocardiographic changes following pharmacological stress testing are less likely to occur compared with exercise stress tests. Ischemia is more likely to be present in the form of ST depression, with ST-segment elevation being exceedingly rare. We present the case of a 73-year-old patient who developed ST-segment elevation myocardial infarction following pharmacologic stress testing.
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spelling pubmed-104228702023-08-13 Dipyridamole-induced STEMI: case report and review of the literature Hennawi, Hussam Al Lakhani, Sunita Khan, Shayan Iqbal Atam, Sarin Sadiq, Usama Rigotti, Joseph Nair, Abhinav Glob Cardiol Sci Pract Images in Cardiology Dipyridamole nuclear myocardial perfusion imaging is a safe and useful modality for assessing myocardial ischemia. It is the modality of choice for cardiac risk stratification in patients who are unable to exercise. Intravenous dipyridamole causes coronary vasodilation and may result in heterogeneity of coronary blood flow in significant coronary artery disease. Ischemic electrocardiographic changes following pharmacological stress testing are less likely to occur compared with exercise stress tests. Ischemia is more likely to be present in the form of ST depression, with ST-segment elevation being exceedingly rare. We present the case of a 73-year-old patient who developed ST-segment elevation myocardial infarction following pharmacologic stress testing. Magdi Yacoub Heart Foundation 2023-08-01 /pmc/articles/PMC10422870/ /pubmed/37575290 http://dx.doi.org/10.21542/gcsp.2023.23 Text en Copyright ©2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images in Cardiology
Hennawi, Hussam Al
Lakhani, Sunita
Khan, Shayan Iqbal
Atam, Sarin
Sadiq, Usama
Rigotti, Joseph
Nair, Abhinav
Dipyridamole-induced STEMI: case report and review of the literature
title Dipyridamole-induced STEMI: case report and review of the literature
title_full Dipyridamole-induced STEMI: case report and review of the literature
title_fullStr Dipyridamole-induced STEMI: case report and review of the literature
title_full_unstemmed Dipyridamole-induced STEMI: case report and review of the literature
title_short Dipyridamole-induced STEMI: case report and review of the literature
title_sort dipyridamole-induced stemi: case report and review of the literature
topic Images in Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10422870/
https://www.ncbi.nlm.nih.gov/pubmed/37575290
http://dx.doi.org/10.21542/gcsp.2023.23
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