An Atypical NSTEMI Presentation: SPECT Usefulness at the Waiting Room

Villa-Ramírez CA1, Bautista-Pérez-Gavilán A1, Ibarra-Moreno A1, Perez-Partida AM1, Sáenz- Ancira S1, García-Cárdenas M1, González-Hernández MA1, Aguilar-Martinez SA1, Bermudez- González JL1, Arce-Sandoval CR1, Vargas-Ahumada J1, Hernández-Olalde D1, Alexanderson- Rosas E1 and Espinola-Zavaleta N1,2*

1Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico 2Department of Echocardiography, ABC Medical Center, Mexico

^*Correspondance to: Espinola-Zavaleta N 

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Abstract:

A Non-ST Elevation Myocardial Infarction (NSTEMI) is distinguished by an elevation of cardiac enzymes without the characteristic ST-elevation seen on EKG. Due to insufficient diagnostic evidence at clinical presentation, there is a need for additional diagnostic tests. Thus myocardial perfusion imaging aids in complementing the diagnostic and therapeutic approach of these patients. A 52-year-old woman presented acute chest pain in the Nuclear Cardiology waiting room. An EKG showed no changes in the ST segment. A myocardial perfusion study showed moderate to severe perfusion defects in the territories of the anterior descending, right and circumflex arteries. This evaluation was later confirmed by coronary angiography, demonstrating the need for further evaluation of perfusion in these patients.

Keywords:

NSTEMI; Electrocardiogram; Acute coronary syndrome; Single-photon emission computed tomography; Technetium-99

Cite the Article:

Villa-Ramírez CA, Bautista-Pérez- Gavilán A, Ibarra-Moreno A, Perez- Partida AM, Sáenz-Ancira S, García- Cárdenas M, et al. An Atypical NSTEMI Presentation: SPECT Usefulness at the Waiting Room. Ann Clin Case Rep. 2022; 7: 2182..