Tc-99m sestamibi myocardial imaging at rest for evaluation of cocaine-induced myocardial ischemia and infarction.
Many clinical cases of cocaine-induced myocardial infarction have been reported in the literature. Of the reported cases, patients tend to be young (in the third decade of life), chronic abusers with myocardial infarction typically involving the anterior left ventricular wall. This case report demonstrates the usefulness of two-phase (symptomatic and asymptomatic) Tc-99m sestamibi myocardial imaging at rest for definitive diagnosis of cocaine-induced myocardial ischemia and infarction.
Yuen-Green
M S
MS
Department of Nuclear Medicine, San Francisco General Hospital, University of California 94110.
Yen
C K
CK
Lim
A D
AD
Lull
R J
RJ
D000328:Adult; D003042:Cocaine / Q000009:adverse effects*; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000000981:diagnostic imaging; D017202:Myocardial Ischemia / Q000139:chemically induced* / Q000000981:diagnostic imaging; D019966:Substance-Related Disorders / Q000150:complications*; D017256:Technetium Tc 99m Sestamibi; D015899:Tomography, Emission-Computed, Single-Photon
D017256:Technetium Tc 99m Sestamibi; D003042:Cocaine