Chung K, Gill EA. Myocardial perfusion imaging in acute coronary syndromes: potential use in decision making for emergent revascularization.
Cardiol Rev 2004;
12:309-13. [PMID:
15476568 DOI:
10.1097/01.crd.0000144369.13260.8a]
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Abstract
We report two cases of patients presenting to the emergency department with chest pain who had low risk electrocardiographic findings. Myocardial perfusion imaging (MPI) revealed a significant area of decreased uptake suggestive of acute transmural infarction. In both cases, biochemical markers later confirmed the diagnosis of myocardial infarction. Cardiac catheterization revealed a large area at risk which was then treated with percutaneous intervention. As MPI is increasingly utilized in the acute evaluation of chest pain, it may serve as a useful adjunct in selecting patients who may benefit from emergent cathertization and revascularization.
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