Case 24

Published on 02/03/2015 by admin

Filed under Internal Medicine

Last modified 03/03/2015

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Case 24

A 76-year-old male with known CAD and prior myocardial infarction was admitted to the hospital with worsening heart failure. He was referred for rest-redistribution thallium-201 (201Tl) imaging for the detection of myocardial viability. An injection of 3.3 mCi of 201Tl was given intravenously at rest, and this was followed by gated SPECT imaging 15 minutes and 4 hours later. The images are shown next. What is your interpretation?

image

(Fig. 1)

Atrial fibrillation with intermittent BiV paced beats. There are Q waves noted in inferior leads and V6 in the nonpaced beats.

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