False-negative myocardial scintigraphy in balanced three-vessel disease, revealed by coronary pressure measurement

Wilbert H. Aarnoudse, Kees-Joost B.M. Botman, Nico H.J. Pijls

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46 Citations (Scopus)

Abstract

In nuclear perfusion imaging of the myocardium, a false-negative test result in patients with balanced three-vessel disease is a well-known pitfall. This paper describes a patient with typical chest pain and a negative myocardial perfusion scintigram. At coronary angiography, intermediate stenoses in the left anterior descending (LAD), left circumflex (LCX), and right coronary (RCA) arteries were present. Fractional flow reserve, measured by coronary pressure measurement, was 0.54, 0.56, and 0.66 respectively for the LAD, LCX, and RCA, unequivocally demonstrating the presence of balanced three-vessel disease. The patient underwent successful bypass surgery and remained event-free thereafter.

Original languageEnglish
Pages (from-to)67-71
Number of pages5
JournalInternational Journal of Cardiovascular Interventions
Volume5
Issue number2
DOIs
Publication statusPublished - 2 Jun 2003

Keywords

  • Balanced three-vessel disease
  • Coronary angiography
  • Coronary pressure measurement
  • Fractional flow reserve
  • Myocardial perfusion scintigraphy

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