Coronary heart disease. Myocardial perfusion study (201 T1)
Penne, R.; Rivera, J.V.
Boletin de la Asociacion Medica de Puerto Rico 73(7): 341-343
1981
ISSN/ISBN: 0004-4849 PMID: 6946791 Document Number: 172484
A 61 years old mate had a history of episodic chest pain since one year prior to admission that required no treatment. The night before admission the patient developed an oppressive chest pain while sleeping not accompanied by nausea, vomiting or diaphoresis. The pain decreased in intensity after a few minutes. The next morning the pain recurred, with radiation to the left arm, numbness of this side, diaphoresis and dyspnea. On physical examination patient was found in mild respiratory distress. There were fine inspiratory rales in both lung bases. A grade 2 mid-systolic murmur was heard but no S3 or S4 were present. The chest x-ray revealed cardiomegaly and slight pulmonary venous congestion. The electrocardiogram revealed a left bundle branch block and left ventricular hypertrophy, but no evidence of infarction. Serial determinations of creatinine kinase and lactic dehydmgenase were normal. was discharged, improved, one week later and was referred to Nuclear Medicine Service for a myocardial perfusion study. This was performed one month after discharge. lt provided evidence of extensive septal ischemia during exercise and a small inferoseptal infarct.
Document emailed within 1 workday
