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...

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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
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author Perdoncin, Maddie
Ezeh, Ebubechukwu
Panta, Utsab R
Mader, Jason
author_facet Perdoncin, Maddie
Ezeh, Ebubechukwu
Panta, Utsab R
Mader, Jason
author_sort Perdoncin, Maddie
collection PubMed
description 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.
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spelling pubmed-96547922022-11-17 Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia Perdoncin, Maddie Ezeh, Ebubechukwu Panta, Utsab R Mader, Jason Cureus Cardiology 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. Cureus 2022-10-14 /pmc/articles/PMC9654792/ /pubmed/36407127 http://dx.doi.org/10.7759/cureus.30285 Text en Copyright © 2022, Perdoncin et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Perdoncin, Maddie
Ezeh, Ebubechukwu
Panta, Utsab R
Mader, Jason
Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title_full Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title_fullStr Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title_full_unstemmed Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title_short Negative Stress Test Is Not Always Negative: Revisiting the Clinical Implications of Balanced Ischemia
title_sort negative stress test is not always negative: revisiting the clinical implications of balanced ischemia
topic Cardiology
url 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
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