Abstract:
:Intravenous dipyridamole thallium imaging is reported to be a safe test with minimal side effects. It has been proposed by some that the test simply dilates the coronary vessels without actually producing myocardial ischemia. In this report, we describe a patient who, following intravenous dipyridamole thallium imaging, developed severe myocardial ischemia which persisted for 90 minutes, requiring emergency coronary angioplasty to alleviate the ischemic insult. Sequential electrocardiograms and cardiac isoenzyme levels following coronary angioplasty were within normal limits. Thus, severe myocardial ischemia following intravenous dipyridamole testing can occur and emphasizes the importance of careful monitoring of these patients, particularly when the pretest risk of coronary disease is high.
journal_name
Chestjournal_title
Chestauthors
Lewen MK,Labovitz AJ,Kern MJ,Chaitman BRdoi
10.1378/chest.92.6.1102subject
Has Abstractpub_date
1987-12-01 00:00:00pages
1102-4issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(16)38111-9journal_volume
92pub_type
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