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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Rest gated-SPECT myocardial perfusion post 99mTc-MIBI injection in a patient wit...
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Vol. 34. Issue 3.
Pages 191-196 (May - June 2015)
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Vol. 34. Issue 3.
Pages 191-196 (May - June 2015)
Clinical note
Rest gated-SPECT myocardial perfusion post 99mTc-MIBI injection in a patient with acute chest pain and with no medical history of ischaemic heart disease
Gated-SPECT de reposo tras inyección intradolor de 99mTc-MIBI en paciente sin antecedentes de cardiopatía isquémica
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M. Negre-Busóa,
Corresponding author
monegre@yahoo.es

Corresponding author.
, L. Muntaner-Muñozb, A. Rubió-Rodrígueza, A. Marin-Buriticáa, N. Ferran-Suredaa, J. Bassaganyas-Vilarrasab
a Servicio de Medicina Nuclear-IDI Girona, Hospital Universitari de Girona Dr. Josep Trueta, Girona, Spain
b Servicio de Cardiología, Hospital Universitari de Girona Dr. Josep Trueta, Girona, Spain
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Abstract

Gated-SPECT myocardial perfusion imaging is a widely used technique indicated for assessment of patients with no clear diagnosis of ischaemic heart disease. Early rest gated-SPECT myocardial perfusion study in patients with acute chest pain has high sensitivity and high negative predictive value for ruling out coronary disease. We report a case of a patient admitted for the study of her chest pain. She underwent a myocardial perfusion stress-rest whose interpretation could have been equivocal due to the clinical status of the patient during the injection of the radiotracer.

Keywords:
Rest gated-SPECT
Chest pain
Myocardial perfusion
Resumen

El estudio gated-SPECT de perfusión miocárdica es una técnica utilizada e indicada para la valoración de los pacientes con un diagnóstico no claro de cardiopatía isquémica. El estudio gated-SPECT de reposo precoz en fase aguda tiene una alta sensibilidad y alto valour predictivo negativo para descartar enfermedad coronaria. Presentamos el caso de una paciente ingresada para el estudio de dolor torácico, a la que se le realizó un estudio de perfusión miocárdica de esfuerzo-reposo, cuyo resultado podría haber sido equívoco debido al estado clínico de la paciente durante la inyección del radiofármaco.

Palabras clave:
Estudio gated-SPECT reposo
Dolor torácico
Perfusión miocárdica

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