Patient with recurrent episodes of chest pain, no baseline ECG abnormalities, normal exercise-SPECT (few months before) but symptoms persist...
Dipyridamole (0.84mg/kg/6min) contrast stress echocardiogram
TOP: Normal septal and lateral wall thickening at rest and peak stress (ap4c VIEW)Stress
BOTTOM: Perfusion imaging on left showing lateral wall defect and severe circumflex stenosis confirmed on angiography
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