Myocard scintigraphy

The elegant alternative to intracardiac catheter!
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A stress electrocardiogram and an echocardiography usually cannot provide enough information to safely exclude a coronary heart disease (CHD).
The myocard scintigraphy (scintigraphy of the myocardal muscle) enables the three-dimensional ECG controlled scintigraphy of the myocardial muscle in rest and stress to precisely identify circulatory disorders or diagnose scarred alterations, which usually allows to prevent an invasive intervention (intracardiac catheter).
To record the blood flow of the heart you will be injected with a radionuclide after bicycle ergometric or pharmacologic stress (the technique will be determined by your doctor). Depending on the metabolic activity and blood flow of the heart's tissue the nuclide attaches to it.
Afterwards, tomographic images of the heart will be made with a Gamma cam. The trigger mechanism for imaging by ECG enables to make a statement about cardiac function, cardiac wall movements and expulsion performance.

Our practice performs the myocard scintigraphy with MIBI (Methoxy-isobutyl-isomitril) in a two days protocol. This means you will be examined on two consecutive days.
On the first day your heart will be examined in stress, on the next day in rest.
If you take beta blocker, they need to be paused in coordination with your general practitioner (about 2 days prior to your examination). On the day of the examination it is also indispensable that you will only have a small breakfast. Avoid coffee, black tea and fatty food such as cheese or butter.

Indication

- Suspected CHD (coronary heart disease) or ascertainment of its disease prognosis

- Question of pertinence of known narrowing of coronary blood vessels

- Progress monitoring after PCI, bypass surgery or stent implantation

- Exclusion of malignancy