Case 30

Published on 02/03/2015 by admin

Filed under Internal Medicine

Last modified 02/03/2015

Print this page

This article have been viewed 992 times

Case 30

A 61-year-old overweight male (6 feet tall, weight 280 pounds) presented with a history of progressively worsening shortness of breath over the last month. At admission, he was found to be in atrial fibrillation. He had a remote history of smoking and recent heavy drinking. He was referred for a pharmacologic stress test. He was taking heparin, aspirin, and digoxin.

He underwent 2-day imaging protocol because of his overweight. Rest imaging was done on the first day, using 30 mCi of technetium-99-sestamibi. He underwent pharmacologic stress using 5-minute adenosine infusion protocol on the second day. His heart rate changed from 101 to 89 beats/min and blood pressure from 178/100 to 189/100. He did not complain of chest pain. His ECG showed atrial fibrillation, left axis deviation, and nonspecific T-wave flattening. There was no further change with adenosine infusion.

Buy Membership for Internal Medicine Category to continue reading. Learn more here

Related

Clinical Nuclear Cardiology State of the Art and Future Directio