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Studies with myocardial perfusion scan and cardiac stress test have already shown ischemia in 30-80% of these patients [8-16].
Conclusions: Visual quantification of myocardial perfusion scan images is not only simple and easy way of myocardial assessment in LBBB patients but its results are statistically significant when compared with coronary angiography.
Table-II: Coronary angiography vs myocardial perfusion scan findings.
All candidate patients for EECP therapy were referred to nuclear medicine center for myocardial perfusion scan. For achieving optimal heart rate during stress test, 24-48 hours before scan, the patients discontinued beta-blockers and calcium antagonists.
One month after finishing the treatment period by EECP, the obtained results from above assessments including functional class, life quality, drugs consumption, echocardiography parameters, exercise tolerance test and myocardial perfusion scan were totally recorded in check list by physiatrist All of patients were visited by cardiologist during and after one year.
cardiac death and non-fatal myocardial infarction (MI) was 0.7% per year.3 Even patients with positive exercise tolerance test for ischaemia or angiographically documented CAD but normal myocardial perfusion scan (MPS) have been shown to be at low risk for future cardiac events.4
The study evaluated the prognostic significance of normal myocardial perfusion scan by 99mTc-MIBI in 300 patients which were divided into two groups according to their pre-test CAD probabilities.
Operational definitions Myocardial Perfusion Scan (MPS) Myocardial perfusion SPECT scan was done using metastable Technetium 99 (Tc-99m) 2- methoxy-isobutyl-isonitrile (MIBI) or Thallium 201 (Tl-201) thallous chloride.
Table-1: Comparison of exercise tolerance test (ETT) with myocardial perfusion scan (MPS) in patients of ischaemic heart disease.
Los ANGELES -- An elderly patient's normal rest electrocardiogram is no reason to rest easy, since a surprisingly large percentage of such patients will have abnormalities that show up on subsequent myocardial perfusion scans.
Of those, 26 had high-risk conditions identified only on myocardial perfusion scans,
MBI was developed based on incidental findings on myocardial perfusion scans, which use Tc-99m sestamibi.
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