MCQ : Nuclear-24
61 yo man. COVID-19 during April 2020. New onset of dyspnoea. BBSn. Echo evaluation showed EF 48% with hypokinesia of the apex. He was submitted to stress/rest MPS. What is the best interpretation of these images?
A) Ischemia and necrosis on LAD territory
B) Ischemia and necrosis on LCx territory
C) Necrosis on the apex and ischemia in 3VD
D) Necrosis in 2VD and ischemia in 3VD
Correct Answer is D) : Necrosis in 2VD and ischemia in 3VD
The images show a big area of necrosis in the apex and in the distal portion of the antero-septal wall, with ischemia in the middle and distal portion of the LAD, ischemia in the distal portion of the antero-lateral wall. It can be noticed the presence of small area of necrosis in the proximal portion of the inferior wall, with ischemia on the middle portion of inferior wall and in the infero-lateral wall (proximal portion).