Rest myocardial perfusion imaging in a patient with atypical chest pain and a nondiagnostic electrocardiogram.
ACC/AHA guidelines assign a class I indication for use of myocardial perfusion imaging (MPI) for the evaluation of chest pain in patients with acute coronary syndromes and a nondiagnostic ECG. However, MPI is not a widely used modality for the evaluation of patients who present to the ER with chest pain and an intermediate pretest probability for coronary artery disease.We report a case in which resting MPI was pivotal in diagnosing acute myocardial infarction and expedited the appropriate reperfusion strategy.
Grube
Heinrich
H
Maine Medical Center, Department of Cardiac Services R8, 22 Bramhall Street, Portland, Maine 04102, USA.
Rosenblatt
Jeffrey
J
D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D055414:Myocardial Perfusion Imaging; D011237:Predictive Value of Tests; D015607:Stents; D016896:Treatment Outcome