ECG: Atrial fibrillation, complete arrhythmia, Q in V3-V5.
The patient underwent a stress/rest myocardial SPECT study with 99mTc-MIBI and dipyridamole.
Teaching points:
Non-invasive functional imaging is indicated after AMI for risk stratification and treatment guidance.
Inducible ischemia, depressed LVEF and arrhythmias are key prognostic factors and should be addressed promptly in order to decrease the risk for future cardiac events.
Complete arrhythmias (especially due to atrial fibrillation) can interfere with gated acquisition, difficulting the evaluation of LVEF and wall motion.