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p-ISSN 2476-7174
The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia
Authors
Behzad Farahani1, Ramin Skandari1, Mohammad Amin Abbasi1,*, 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
*Corresponding Author: Corresponding author: Assistant Professor, Department of Medicine, Iran University of Medical Sciences, Tehran, Iran. E-mail: Email: amin.abbasi1314@gmail.com
Published online:Jan 24, 2017
Article type:Research Article
Received:Aug 10, 2016
Accepted:Dec 18, 2016
How to Cite:Farahani B, Skandari R, Abbasi MA, Aghalou S, Gohari S, et al. The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia. Int J Cardiovasc Pract. 2017;2(1):e130060. doi: 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.
Highlights
Copyright
© 2017, International Journal of Cardiovascular Practice. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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