Case Study: Thallium- Negative for Ischemia

Patient:
59 Y/O male

Medical History:
H/O smoking, Dyslipidemia, positive treadmill test
Evaluate for ischemia

Procedure:
Bruce protocol 9 minutes, 28 seconds. Peak HR 153 BPM (85% max)
124.6 MBq (3.67 mCi) Tl201

Diagnosis:
Normal EF (65%), LV size and wall motion
No significant ischemia

Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel

Case Study: Prone Stress- Reversible Diaphragm Attenuation

Patient:
44 Y/O male
Weight: 97.5kg (215lbs)

Medical History:
No complaints
Had abnormal baseline EKG, smoker, overweight, family history of CAD

Procedure:
One Day Reverse Protocol

Results:
Inferior wall defect on stress images
Prone images are normal
Indeterminate EKG stress test due to baseline EKG abnormalities
and normal images

Diagnosis:
Normal with Inferior wall diaphragmatic attenuation

Images within this presentation have been provided courtesy of the following sites:
Cardiology Associates of Fairfield County; Stamford, CT, Dr M. Heiman. Long Island Jewish Medical Center; New Hyde Park, NY. Mayo Clinic; Rochester, MN. Ottawa Heart Institute; Ottawa, Canada, Dr Iftikhar Al. Rambam Medical Center; Haifa, Israel