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Figure 1 | Journal of Cardiovascular Magnetic Resonance

Figure 1

From: The clinical value of Stress Cardiac Magnetic Resonance Imaging in symptomatic patients with low to intermediate acute coronary syndrome risk

Figure 1

An example of a patient complain of chest pain during stress nearly five years, aggravation a month recently. A. Stress/rest perfusion CMR shows reversible subendocardial hypoperfusion (ischemia) at Apical septal (a), Mid inferoseptal (c), inferior wall (a, c, e), basal anterior and anterolateral wall. B CAG confirmed significant stenosis in all three coronary arteries. The occlusion of the proximal of LAB (B, a arrowhead), RCA collateral blood supply to the distal of LAD (B, b arrowhead) a severe stenosis in the LCX of 80% (B, a arrow). The middle and distal of RCA shows diffuse stenosis of 60-80% (B, b arrow). C. Stress/rest perfusion SPECT shows no significant perfusion defect. As per study protocol, SPECT in this patient was classified as a false negative, showing the potential limitations of SPECT can miss small subendocardial ischemia, and the shortcomings of detecting three balanced coronary lesions.

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