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Dobutamine stress PET/CT for assessment of hemodynamic significance of coronary myocardial bridges

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Abstract

Myocardial bridges are common and often benign, but can cause hemodynamically significant obstruction of blood flow with stress. Dobutamine stress positron emission tomography/computed tomography (PET/CT) is a powerful tool for non-invasively assessing for ischemia. We present a case of using dobutamine stress PET/CT to determine the significance of a myocardial bridge.

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Disclosure

Dr. Abadie and Dr. Jaber have no disclosures.

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Correspondence to Bryan Abadie MD.

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Supplementary file1 (WMV 325 kb)

Figure 8: PET/CT gated images demonstrating hypokinesis of the apex and septum during stress(video).

Supplementary file2 (MP4 4403 kb)

Figure 9: Initial echocardiogram showing hypokinesis of the left ventricular (LV) apex andseptum (video).

Supplementary file3 (MP4 2520 kb)

Figure 10: Repeat echocardiogram one month later shows resolution of wall motionalabnormalities and a normal LV ejection fraction (video).

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Abadie, B., Jaber, W. Dobutamine stress PET/CT for assessment of hemodynamic significance of coronary myocardial bridges. J. Nucl. Cardiol. 29, 1447–1451 (2022). https://doi.org/10.1007/s12350-021-02759-8

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  • DOI: https://doi.org/10.1007/s12350-021-02759-8

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