Identification of severe right ventricular dysfunction by technetium- 99m-sestamibi gated SPECT imaging

Naveen Pereira, William S. Klutz, Robert E. Fox, Kwang W. Ahn, Mark I. Travin

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

An 84-yr-old man with previous anterior wall myocardial infarction presented with shortness of breath and palpitations. His symptoms were attributed to myocardial ischemia, and he was referred for a stress 99mTc- sestamibi SPECT imaging study with gating. The images showed minimal left ventricular ischemia, but a dilated and hypokinetic right ventricle suggested pulmonary pathology as the probable etiology of his presenting symptoms. A subsequent ventilation perfusion study was consistent with the diagnosis of multiple pulmonary emboli. Thus, 99mTc-sestamibi SPECT imaging with gating provides information about right ventricular perfusion and function, enhancing the clinical utility of stress myocardial perfusion imaging.

Original languageEnglish (US)
Pages (from-to)254-256
Number of pages3
JournalJournal of Nuclear Medicine
Volume38
Issue number2
StatePublished - Feb 1 1997
Externally publishedYes

Keywords

  • gated SPECT
  • right ventricle
  • technetium-99m-sestamibi

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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