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

authors:

avatar Behzad Farahani 1 , avatar Ramin Skandari 1 , avatar Mohammad Amin Abbasi 1 , * , avatar Sepideh Aghalou 2 , avatar Sepehr Gohari 3 , avatar Amir Hossein Heydari 3 , avatar Mehrdad Farahani 4

Assistant Professor, Department of Medicine, Iran University of Medical Sciences, Tehran, Iran
MSc, Department of Medicine, Firoozgar hospital, Iran University of Medical Sciences, Tehran, Iran
MSc Student, Department of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
MSc Student, Department of Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

how to cite: Farahani B, Skandari R, Abbasi M A , Aghalou S, Gohari S, et al. The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia. Int J Cardio Pract. 2017;2(1):e130060. doi: 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.

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© 2017, Cardiovascular Research Center of Shahid Beheshti University of Medicl Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.