Discovery* NM 530c with Alcyone Technology.

Case Study: Negative Ischemia

Patient:
68 Y/O female
BMI: 31.2

Medical History:
R/O CAD HTN, Dyslipdemia, DM

Procedure:
Low dose rest / high dose stress
Stress type: Exercise
Positive ECG

Diagnosis:
No ischemia

Discovery NM 530c Negative Ischemia Case Study

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

  • Ischemia

    Case Study: Ischemia

    Patient:
    63 Y/O male
    BMI: 36

    Medical History:
    Evaluate known CAD,m HTN, Dyslipidemia, CABG

    Procedure:
    Low dose rest / high dose stress
    Stress type: Exercise
    Abnormal ECG

    Diagnosis:
    Lateral wall ischemia
    55% ejection fraction

    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

  • Thallium

    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

  • Dual Isotope

    Case Study: Dual Isotope- Abnormal

    Patient:
    67 Y/O male

    Medical History:
    202 lbs
    CAD, anterior wall MI, Stent, Hyperlipidemia
    Evaluate for ischemia

    Procedure:
    Modified Bruce protocol 7 minutes, 40 seconds. 12.8 METS. Peak HR 139 BPM(91% max).
    No Significant ST depression
    Stress: 22.7 mCi Tc99m Sestamibi
    Rest: 2.84 mCi Tl201

    Diagnosis:
    Abnormal perfusion pattern. Antero-apical and distal septal infarct with reduced LV Function, Abnormal EF (37%)

    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

  • Prone Stress

    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

    ine-cardiac scanners-discovery nm 530c-discovery-nm-530c-case-study_prone_stress_graph.jpg

    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