Figure 5

Inducible left ventricular wall motion abnormalities indicative of ischemia. A resting end-systolic frame from a 2-chamber view is shown in the top left corner demonstrating normal left ventricular contraction with no wall motion abnormalities. The top right image shows a peak dobutamine end-systolic cine view; the yellow arrow highlights hypokinesis of the inferoapical region. The bottom images are a caudal view of the right anterior oblique projection during contrast coronary angiography. The bottom left image exhibits a 70% proximal left anterior descending, 80% obtuse marginal, and 60% distal circumflex lesions. The red arrow in the bottom right highlights an 80% lesion in the mid-right coronary artery.