Cardiac Stress Perfusion

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A cardiac stress perfusion test is a diagnostic procedure used to evaluate the blood flow to the heart during physical stress or after the administration of a medication that simulates exercise. It helps to assess the heart’s ability to receive adequate blood supply under stress, which is crucial for detecting coronary artery disease (CAD) or ischemia (reduced blood flow). The test involves imaging techniques, such as nuclear imaging (SPECT or PET) or MRI, to visualize blood flow to the heart muscle before and after stress.

During the test, the patient is either asked to exercise on a treadmill or bike (if they are physically able) or is given a medication like adenosine or dobutamine that mimics the effects of exercise by increasing heart rate and blood flow. A radioactive tracer is injected into the bloodstream before and after the stress phase to highlight areas of the heart that are receiving reduced blood flow, which may indicate blockages or other issues with coronary circulation. The test can identify areas of the heart that are underperfused during stress, which may suggest coronary artery disease, angina, or other conditions that could lead to heart attacks or severe heart dysfunction.

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