The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia

Behzad Farahani; Ramin Skandari; Mohammad Amin  Abbasi; Sepideh Aghalou; Sepehr Gohari; Amir Hossein Heydari; Mehrdad Farahani

doi:10.21859/ijcp-020108

International Journal of Cardiovascular Practice

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https://doi.org/10.21859/ijcp-020108

The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia

Author(s):

Behzad Farahani¹,

Ramin Skandari¹,

Mohammad Amin Abbasi^1,*,

Sepideh Aghalou²,

Sepehr Gohari³,

Amir Hossein Heydari³,

Mehrdad Farahani⁴

1Assistant Professor, Department of Medicine, Iran University of Medical Sciences, Tehran, Iran

2MSc, Department of Medicine, Firoozgar hospital, Iran University of Medical Sciences, Tehran, Iran

3MSc Student, Department of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran

4MSc Student, Department of Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

International Journal of Cardiovascular Practice:Vol. 2, issue 1; 17-20

Published online:Jan 24, 2017

Article type:Research Article

Received:Aug 10, 2016

Accepted:Dec 18, 2016

How to Cite:Behzad FarahaniRamin SkandariMohammad Amin AbbasiSepideh AghalouSepehr GohariAmir Hossein HeydariMehrdad Farahaniet al.The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia.Int J Cardiovasc Pract.2(1):e130060.https://doi.org/10.21859/ijcp-020108.

Abstract

Introduction: The aim of this study was to determine the consistency of Electrocardiography (ECG) and myocardial perfusion scan findings of patients with myocardial ischemia at Firoozgar and Hazrat-Rasool hospitals.

Methods: Electrocardiogram of 80 patients undergoing myocardial perfusion scans was analyzed. All patients had a stable angina. All patients with bundle branch blocks and history of MI and coronary bypass or angiography were excluded. Overall, 120 patients were evaluated with single photon emission tomography/myocardial perfusion imaging for ischemia and 80 patients had a positive test.

Results: Forty-five percent of patients were female and 55% were male. The average age of patients was 61.48 years. Sixty-one patients (76.25%) had normal ECG and 19 patients (23.75) had pathological changes in their ECG. Eleven patients had ST segment depression and 6 patients had T wave inversion. Furthermore, 21 patients (26.25%) had lateral wall ischemia in their myocardial perfusion scan and 13 (16.25%) patients had septal wall ischemia. The ECG changes in male patients and hypertensive cases were more prominent.

Conclusions: This study showed that ST-T changes (ST depression and T inversion) in the ECG are more suggestive of accuracy of myocardial ischemia and ECG.

Keywords

Electrocardiography

Coronary Artery Disease

Stable Angina

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Author(s):

Behzad Farahani:[PubMed][Scholar]
Ramin Skandari:[PubMed][Scholar]
Mohammad Amin Abbasi:[PubMed][Scholar]
Sepideh Aghalou:[PubMed][Scholar]
Sepehr Gohari:[PubMed][Scholar]
Amir Hossein Heydari:[PubMed][Scholar]
Mehrdad Farahani:[PubMed][Scholar]