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Ischaemia : Case 3

Patient Description

Patient with recurrent episodes of chest pain, no baseline ECG abnormalities, normal exercise-SPECT (few months before) but symptoms persist...


Contrast Echo Box : Atlas

Normal exercise-SPECT

Contrast Stress Echocardiogram

Dipyridamole (0.84mg/kg/6min) contrast stress echocardiogram

Rest                                                                                   Stress

Contrast Echo Box : Atlas         Contrast Echo Box : Atlas

TOP: Normal septal and lateral wall thickening at
rest and peak stress (ap4c VIEW)


Contrast Echo Box : Atlas

BOTTOM: Perfusion imaging on left showing lateral wall defect and severe circumflex stenosis confirmed on angiography


  • Proximal Cx significant stenosis
  • Incremental / additional information from perfusion imaging