Sample Name: Myocardial Perfusion Imaging - 3
Description: Myocardial perfusion study at rest and stress, gated SPECT wall motion study at stress and calculation of ejection fraction.
(Medical Transcription Sample Report)
DIAGNOSIS: Shortness of breath. Fatigue and weakness. Hypertension. Hyperlipidemia.
INDICATION: To evaluate for coronary artery disease.
TEST: Myocardial perfusion study at rest and stress, gated SPECT wall motion study at stress and calculation of ejection fraction.
RADIOPHARMACEUTICAL: Technetium 99m and Tetrofosmin.
DOSE: Dose was 10.8mCi at rest and 30.7mCi at stress intravenous.
Baseline heart rate was 75 bpm. Maximum heart rate was 98 bpm. The patient did not achieve submax target heart rate. Stress test was nondiagnostic for ischemia.
Blood pressure response was flat during the stress test. Resting blood pressure was 138/78 reaching 130/80 at peak exercise. The patient did not experience chest pain during exercise or post exercise. Resting EKG shows normal sinus rhythm with anteroseptal wall myocardial infarction, age undetermined, and nonspecific ST-T changes. Nonspecific ST-T changes at post exercise. The EKG did not show ST segment changes diagnostic for ischemia. The patient had myocardial perfusion imaging performed using Technetium 99m and Tetrofosmin, 10.8mCi at rest and 30.7mCi at peak exercise. Imaging was performed using tomographic technique.
FINDING: The left ventricle was normal in size. There was no myocardial perfusion defect noted.
Resting gated SPECT wall motion study reveals normal left ventricular wall motion with ejection fraction of 77%.
1. Normal myocardial perfusion study.
2. Normal response to exercise.
3. Normal left ventricular wall motion with ejection fraction of 77%.
4. Resting right ventricular function was normal.
Keywords: radiology, myocardial perfusion imaging, spect wall motion study at stress, rest and stress, perfusion study at rest, calculation of ejection fraction, normal left ventricular wall, spect wall motion study, ventricular wall motion, myocardial perfusion study, perfusion imaging, blood pressure, nonspecific st, ventricular wall, gated spect, spect wall, motion study, stress test, heart rate, ejection fraction, myocardial perfusion, technetium, tetrofosmin, ischemia, ekg, imaging, spect, heart, ventricular, mci, resting, perfusion, stress, myocardial,