I have just gotten results from an Echocardiogram and a Radioactive Sestamibi Scan. The ejection fractions are different. Is that normal or should I follow up further?
The adverse effects experienced are similar to those with use of adenosine. While adverse effects are less frequent with dipyridamole (47% of patients), they tend to be more serious than those associated with adenosine. The most common adverse effects of dipyridamole are chest pain (19%), headache (12%), and hypotension (4.6%). In addition, 12% of patients require aminophylline for reversal of adverse effects.
My Sestamibi scan came back negative. I take Levoxyl. Will the Levoxyl cause the scan to come back negative?
Persantine is dipyridamole, but you will have to get extended release tablets as the two asprin and dipyridamole should not be taken together. Don’t change the medications without discussing with your doctor. So, consult him and then decide.
Hope this helped and do keep us posted.
Hi Dr. Lupo, me again!
Here are my imaging results:
Thyroid Ultrasound, Jul 08: "There is suggestion of a possible RIGHT suprathyroid nodule. It is difficult to tell whether this is a true finding. If there is clinical suspicion of an enlarged parathyroid gland, then nuclear medicine study is recommended."
Parathyroid Sestamibi, Jul 08: "There is a subtle focus of mildly increased uptake seen approximately 1 cm below the LEFT lobe of the thyroid.
What is nonreversible apical inferior wall and what does it mean when they say no dipyridamole-induced reversible ischemia .there is mild defect in the apical inferior wall that is not reversible at rest.
The 24 hour urine came back extremely high - 503 with high being 300. I then was sent to an ENT specialist and had an sestamibi scan done. I went to our small town hospital and had the test done - possible minor parathyroid adenoma on the left side. At that point, my ENT doc wasn't comfortable operating on me without a good localization scan.
While you are taking Aggrenox (aspirin/dipyridamole), you should avoid taking over-the-counter pain medicine, especially any other products containing aspirin or non-steroidal anti-inflammatory drugs (NSAIDs).
Also, Avoid alcohol, or drink a minimal amount, as the combination of Aggrenox and alcohol could cause stomach bleeding.
Technique: 11 millicuries technetium 99m labeled sestamibi was injected intravenously, and SPECT rest imaging was obtained. The patient was stressed with Lexiscan scan, then 31 millicuries technetium 99m labeled sestamibi was injected intravenously. SPECT stress imaging was then obtained.Comparison: None.Findings: Anterolateral wall reversibility concerning for myocardial ischemia.No fixed defects.Left ventricle is normal size.Impression: 1.
Some of the alternatives include aspirin, Clopidogrel (Plavix), ticlodipine (Ticlid), dipyridamole (Persantine). Another alternative is Heparin injection. Different situations require different levels of anticoagulation. It is important to discuss the best treatment option with a physician.
Do I have Hyperparathyroidism or Anemia or both? My Sestamibi scan came back negative, but my calcium level is 10.3 and my PTH is 154. Now my Endocrinologist wants me to have a SPECT Sestamibi scan. How is this test different? Per my doctor I'm taking 50,000 IU Vitamin D once a week because my body is eliminating that along with the calcium. Should I be taking Vitam D? I was also told I'm anemic. They seem to have similar symptoms. I can't get any answers! Can you help me?
I suffered a mild stroke (blood clot) Consultant prescribed Clopidogrel but cannot tolerate side effects. Then consultant prescribed Dipyridamole. I cannot tolerate this either. Severe headache, vomiting and diarrhoea. Has anybody got a different medication they are on?
ve read quite a few scholarly articles, and I have to say that the decision by your endocrinologist to wait and see because of a negative sestamibi scan seems quite absurd. A scan (be it sestamibi or ultrasound) is *never* used to diagnose primary hyperparathyroidism; it's just to aid the surgeon prior to operation. Your blood tests are unequivocal. Your urine calcium rules out the rare FHH (familial hypocalciuric hypercalcemia). You have primary hyperparathyroidism. Period.
And I have been experiencing more and more symptoms which I know are all symptoms of hyperparathyroidism. At any rate, now she wants me to get a sestamibi scan BEFORE she will send me to a surgeon.
From what I have read, this is not really a diagnostic tool (especially considering my test results have already confirmed the diagnosis of hyperparathyroidism), and it is not very accurate.
I have planned to travel to another city to have Sestamibi-Technetium scanning for my parathyroids. It is difficult to decide, when I could travel, is it dangerous to get Sestamibi-Technetium an so on. Doctors are not easily caught in summer when they have summer vacations. I have been left in the dark about what and when will happen to me. Cannot but be waiting and calling.
ECG last month showed SVES, RBBB. This week he has stress test with dipyridamole protocol, and injection of thallium-201. The result showed "evidence of mild, small to medium size, irreversible perfusion defect in the inferior/inferolateral wall (mid to basal level)." Could you explain what this means? Does he need to have surgery or pacemaker? thanks in advance for your help.
syndrome that seemed to last forever but my surgeon identified my PTs on a Sestamibi scan before he went after the offending tumor. Your remaining two may rally back yet. They didn't have to work as the other two were going nuts, so they may have become desensitized and just haven't had the kick they need to work just yet. Do you know what your ionized calcium is? this will tell you if your body is actually using the calcium. Also, how much D are you on?
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