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Stress testing for myocardial perfusion scintigraphy 

Stress testing for myocardial perfusion scintigraphy
Stress testing for myocardial perfusion scintigraphy

Nikant Sabharwal

, Parthiban Arumugam

, and Andrew Kelion

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date: 02 July 2022

This chapter focuses on stress testing for myocardial perfusion scintigraphy. Beginning with detail on coronary physiology and exercise testing, it explains the coronary arterial system and the effect of stress methods on flow. By providing practical details on stress testing and exercise stress including equipment, personnel, and patient preparation, this chapter provides a good basis for clinical practice. Information on vasodilator drugs is also provided, with detail on pharmacology, practical considerations when performing the stress test, and adverse effects. Similar detail is provided on dobutamine. A further section details the advantages and disadvantages of methods of stress, including cost considerations, side effects, and variable suitability for a range of patients. A handy and practical algorithm is also provided to aid decision-making for appropriate methods of stress.

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