the fowllowing is the complet test we have down for my father, so please advice me about his overall condition and taking care of him.
DEPARTMENT OF CARDIOLOGY
LADY READING HOSPITAL PESHAWAR
Tc-99m GATED MYOCARDIAL PERFUSION SPECT
(SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY)
SEX: MALE AGE: 55 Yrs Date: 04-03-2011
Clinical History: patient is known case CAD. History of STEMI. Presented with chest pain and SOB on exertion. Echo (27-07-2010) Regional wall motion abnormalities, LV dysfunction (FS-17%). C.Angio (18-02-2011) : LAD: this vessel has Osteal to proximal 20-30% lesion and then totally occluded, RCA: fills LAD retrogradly.
Protocol REST STUDY PROTOCOL WITH NITRATE FOR VIABILITY
Procedure patient was administered sublingual nitroglycerine followed by 25mCi (925 MBq) of Tc-99m MIBI injected intravenously. Gated SPECT imaging was done one hour later.
Gated SPECT Overall quality of the study is good. There is evidence of marked left ventricular cavity dilatation.
SPECT images demonstrate absent to severely reduced tracer uptake in apex (anteroapical and inferoapical), anterior (apical and mid), anteroseptal (apical, mid and basal), inferoseptal (apical, mid and basal), apical inferior, apical inferolateral and apical anterolateral segments.
There is moderately reduced tracer uptake in basal anterior and inferior (mid and basal) segments.
Rest of the myocardial segments show good tracer uptake.
GATED IMAGES Decreased wall thickness in apex, septum, apical ½ of anterior and apical 1/3 of inferior and lateral walls. Akinesia of apex, septum, apical 1/3 of anterior, inferior and lateral walls. Rest of anterior and inferior walls are hypokinetic.
LVEF: 30% EDV: 177ml. ESV: 124ml.
• large transmural infarct (scar myocardium) involving apex , apical ½ of anterior wall, septum and all other apical segments.
• Marked LV cavity dilatation.
• Myocardial viable territories:
LAD: 1/10 (10%)
LCX: 4/6 (67%)
RCA: 2/4 (50%)
The doctor administrated the following medicines
1- PROGREL - AP one tablet per day
2- NICOGET tow tablet per day
3- LASORIDE 10 mg one tablet per day
4- RAST 10 mg one tablet per day
5- CORBIS 2.5 mg one tablet per day
thanks in advance