Open AccessFlow-Metabolism Mismatch and Severe Ischemic Cardiomyopathy
Author(s) -
Edward O. McFalls,
Herbert B. Ward
Publication year - 1998
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.98.20.2218
Subject(s) - medicine , cardiology , ejection fraction , coronary artery disease , cardiomyopathy , ischemic cardiomyopathy , chest radiograph , exertion , heart failure , lung
A69-year-old man presented to his local physician with progressive dyspnea on exertion and a chest radiograph showing pulmonary edema. He denied any anginal symptoms, but on coronary angiography, he had severe obstructive coronary artery disease involving all 3 major arteries. The left ventricular ejection fraction by multigated angiogram (MUGA) was 22%, with global hypokinesis. A subsequent PET scan showed a large “flow-metabolism” mismatch involving the anterior and …
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