False-negative myocardial scintigraphy in balanced three-vessel disease, revealed by coronary pressure measurement
- 1 January 2003
- journal article
- case report
- Published by Informa UK Limited in International Journal of Cardiovascular Interventions
- Vol. 5 (2), 67-71
- https://doi.org/10.1080/14628840310003244
Abstract
In nuclear perfusion imaging of the myocardium, a false-negative test result in patients with balanced three-vessel disease is a well-known pitfall. This paper describes a patient with typical chest pain and a negative myocardial perfusion scintigram. At coronary angiography, intermediate stenoses in the left anterior descending (LAD), left circumflex (LCX), and right coronary (RCA) arteries were present. Fractional flow reserve, measured by coronary pressure measurement, was 0.54, 0.56, and 0.66 respectively for the LAD, LCX, and RCA, unequivocally demonstrating the presence of balanced three-vessel disease. The patient underwent successful bypass surgery and remained event-free thereafter.Keywords
This publication has 10 references indexed in Scilit:
- Usefulness of fractional flow reserve for risk stratification of patients with multivessel coronary artery disease and an intermediate stenosisThe American Journal of Cardiology, 2002
- Abnormal Epicardial Coronary Resistance in Patients With Diffuse Atherosclerosis but “Normal” Coronary AngiographyCirculation, 2001
- Fractional Flow Reserve in Patients With Prior Myocardial InfarctionCirculation, 2001
- Diastolic Fractional Flow Reserve to Assess the Functional Severity of Moderate Coronary Artery StenosesCirculation, 2000
- Simultaneous Coronary Pressure and Flow Velocity Measurements in HumansCirculation, 1996
- Assessing the Severity of Coronary-Artery StenosesNew England Journal of Medicine, 1996
- Measurement of Fractional Flow Reserve to Assess the Functional Severity of Coronary-Artery StenosesNew England Journal of Medicine, 1996
- Dobutamine-induced wall motion abnormalities: Correlations with myocardial fractional flow reserve and quantitative coronary angiographyJournal of the American College of Cardiology, 1996
- Fractional Flow ReserveCirculation, 1995
- Experimental basis of determining maximum coronary, myocardial, and collateral blood flow by pressure measurements for assessing functional stenosis severity before and after percutaneous transluminal coronary angioplasty.Circulation, 1993