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STRESS PROTOCOLS

Gesundheit & Medizin
1 von 34
Dr. Ihab Suliman MBBS,MRCP,Diplomat CBNC
Basics of MPI( Myocardial Perfusion Imaging) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MYOCARDIAL PERFUSION GATED SPECT-STRESS ,[object Object],[object Object],[object Object],[object Object]
[object Object]
MYOCARDIAL PERFUSION GATED SPECT-STRESS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
A-Planar Imaging
Stress Test Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case _ 1 ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
MYOCARDIAL PERFUSION SPECT-REST ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Absolute Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relative Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EKG Exclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise Procedure(Bruce Protocol) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bruce Protocol
[object Object],[object Object],[object Object],[object Object]
Modified Bruce: 2 minute intervals ½ stages Speed is constant grade increases. Naughton Protocol: 2 minute interval at 2 mph with grade changes 0%, 3.5%, 7%, 10.5%, 14%, 17.5%, 20%. These protocols are important in a setting of Post-MI( 5 TH or 6 th day on discharge)
Indications for termination of test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ST Depression - Represents subendocardial ischemia -Abnormal > 1mm horizontal/downsloping at .08sec past “J” point.
Myocardial Perfusion Imaging SPECT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MPI Radiopharmaceuticals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thallium MPI Prep MI ruled out by cardiac markers NPO 6-12 hrs, NO CAFFEINE 24 hrs Wgt. <350 lbs. Consent IV access (peripheral preferred) No nuclear scans 24 hrs.(V/Q, bone) Be able to lie flat with hands behind head for 15 mins. x 2 Must be able to walk treadmill Notify if ICD present Pregnancy test for premenopausal women
PHARMACOLOGICAL MPI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONTRAINDICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dipyridamole/Adenosine prep ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
DOBUTAMINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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Drihabsuliman

  • 1. Dr. Ihab Suliman MBBS,MRCP,Diplomat CBNC
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  • 22. Modified Bruce: 2 minute intervals ½ stages Speed is constant grade increases. Naughton Protocol: 2 minute interval at 2 mph with grade changes 0%, 3.5%, 7%, 10.5%, 14%, 17.5%, 20%. These protocols are important in a setting of Post-MI( 5 TH or 6 th day on discharge)
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  • 25. ST Depression - Represents subendocardial ischemia -Abnormal > 1mm horizontal/downsloping at .08sec past “J” point.
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  • 28. Thallium MPI Prep MI ruled out by cardiac markers NPO 6-12 hrs, NO CAFFEINE 24 hrs Wgt. <350 lbs. Consent IV access (peripheral preferred) No nuclear scans 24 hrs.(V/Q, bone) Be able to lie flat with hands behind head for 15 mins. x 2 Must be able to walk treadmill Notify if ICD present Pregnancy test for premenopausal women
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