Case 34

Published on 02/03/2015 by admin

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Last modified 02/03/2015

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Case 34

A 75-year-old male with hypertension, hyperlipidemia, and old myocardial infarction (26 years earlier) presented with complaints of occasional exertional angina. He never underwent cardiac catheterization, and he was treated medically.

Medications: lisinopril, isosorbide dinitrate, atorvastatin, and aspirin.

He was referred for exercise-rest myocardial perfusion imaging study.

He underwent symptom-limited treadmill exercise using Bruce Protocol. He exercised for 6:30 minutes, achieving an estimated workload of 7 METs. His heart rate increased from 75 to 144 beats/min, and blood pressure increased from 116/64 to 130/60 mm Hg. He developed no chest pain on exercise.

(Fig. 1a)

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