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Transient mitral regurgitation: An adjunctive sign of myocardial ischemia during dipyridamole-thallium imaging

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:5820579
A patient developed transient exacerbation of a mitral insufficiency murmur and a reversible posterior wall perfusion defect during dipyridamole-thallium imaging. Coronary angiography showed significant stenoses of both the right and the circumflex coronary arteries that supply the posterior papillary muscle. Cardiac auscultation for transient mitral incompetence, a sign of reversible papillary muscle dysfunction, is a simple and practical adjunctive test for myocardial ischemia during dipyridamole-thallium imaging. It may confirm that an isolated reversible posterior wall myocardial perfusion defect is truly ischemic in nature as opposed to an artifact resulting from attenuation by the diaphragm.
Research Organization:
Maisonneuve-Rosemont Hospital Center, Montreal (Canada)
OSTI ID:
5820579
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 30:7; ISSN JNMEA
Country of Publication:
United States
Language:
English