Clinical case: Anterior-apical Scar

Courtesy of Pr. Kaufmann and Dr. Herzog, University Hospital, Zurich, Switzerland.

The clinical case below is displayed only for educational purpose and for the benefit of healthcare student and professional.

Patient

74 years old man, 168 cm height, 65 kg weight.

Medical history

CAD, 2 vessel disease, ischemic cardiomyopathy. Antero-septal myocardial infarction in January 2001 PTCA/Stenting of a LAD occlusion was then performed.
CvRF: Hypertension, dyslipidemia.

Procedure

One day Tetrofosmine
339 MBq Stress
923 MBq Rest
Stress type: Pharmacological

Diagnosis

Anterior-apical akinetic and partly dyskinetic scar. No ischemic areas, but a massively diminished left ventricular function. 19% ejection fraction.

Findings

Standard procedure             Alcyone Technology
Ventri - LEHRcollimator        procedure Discovery 530c
15 min Stress 15 min             5 min Stress 3 min Rest
Rest