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Resolution of perfusion defects with antiischemic medical therapy

ConclusionMyocardial ischemia has been clearly associated with an increased risk of cardiac events. Traditionally, patients showing evidence of ischemia have been treated with revascularization in an attempt to reduce this risk. However, recent studies have shown that antiischemic medications can reduce the extent of stress-induced scintigraphic ischemia and that this reduction may actually reduce risk and improve long-term outcome1,2. Our report illustrates the effectiveness of medical therapy insuppressing myocardial ischemia and demonstrates the value of nuclear myocardial perfusion imaging in the management and observation of patients with underlying coronary artery disease.