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Erschienen in:

01.01.2021 | Case Presentation Corner

Abnormal vasodilator stress electrocardiogram with normal myocardial perfusion: Clinical decision-making and review of literature

verfasst von: Kameel Kassab, MD, Ahmed Al-Ogaili, MD, Saurabh Malhotra, MD, MPH, FACC, FASNC

Erschienen in: Journal of Nuclear Cardiology | Ausgabe 3/2022

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Abstract

Ischemic electrocardiographic (ECG) changes during vasodilator stress testing in the presence of abnormal myocardial perfusion imaging (MPI) are associated with more severe coronary artery disease (CAD). However, significance of ECG changes during vasodilator stress test with normal MPI has been controversial. Here, we discuss two cases of significant ischemic ECG changes with vasodilator stress and normal MPI, whose subsequent workup revealed severe obstructive CAD. We also review the available literature on the occurrence and mechanism of these discrepant findings and propose recommendations for management.
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Metadaten
Titel
Abnormal vasodilator stress electrocardiogram with normal myocardial perfusion: Clinical decision-making and review of literature
verfasst von
Kameel Kassab, MD
Ahmed Al-Ogaili, MD
Saurabh Malhotra, MD, MPH, FACC, FASNC
Publikationsdatum
01.01.2021
Verlag
Springer International Publishing
Erschienen in
Journal of Nuclear Cardiology / Ausgabe 3/2022
Print ISSN: 1071-3581
Elektronische ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-020-02452-2

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