Myocardial perfusion imaging with technetium (99mTc) sestamibi often aids in the diagnosis of coronary artery disease. This diagnostic tool is highly important in dictating future clinical decision-making and determining whether patients may benefit from revascularization. However, it is not completely sensitive and may be unreliable in diagnosing coronary artery disease in patients with balanced perfusion deficits. Here, we present the case of a 45-year-old male with severe coronary artery disease and false-negative myocardial perfusion imaging.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654792PMC
http://dx.doi.org/10.7759/cureus.30285DOI Listing

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