Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia

Myocardial perfusion imaging with technetium (99mTc) sestamibi often aids in the diagnosis of coronary artery disease. This diagnostic tool is highly important in dictating future clinical decision-making and determining whether patients may benefit from revascularization. However, it is not complet...

Descripción completa

Detalles Bibliográficos
Autores principales: Perdoncin, Maddie, Ezeh, Ebubechukwu, Panta, Utsab R, Mader, Jason
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654792/
https://www.ncbi.nlm.nih.gov/pubmed/36407127
http://dx.doi.org/10.7759/cureus.30285
Descripción
Sumario:Myocardial perfusion imaging with technetium (99mTc) sestamibi often aids in the diagnosis of coronary artery disease. This diagnostic tool is highly important in dictating future clinical decision-making and determining whether patients may benefit from revascularization. However, it is not completely sensitive and may be unreliable in diagnosing coronary artery disease in patients with balanced perfusion deficits. Here, we present the case of a 45-year-old male with severe coronary artery disease and false-negative myocardial perfusion imaging.

Ejemplares similares