SPECT de perfusión miocárdica con 99mTc-Tetrofosmin y SPECT torácica con Galio-67 en paciente con dolor torácico y antecedente de sarcoidosis

We present the case of a 54 years old male patient, with history of diagnosed sarcoidosis some years ago and myocardial involvement, who being asymptomatic, shows chest pain because of which he goes to the emergency room of the hospital. During the first hours of his admission the pain relieves with nonsteroidal antiinflamatory medication, an electrocardiogram demostrates changes of early repolarisation with pericardial involvement, the enzymes don't rise and the Echocardiogram reveals a slight pericardial effusion. The differential diagnosis is arise between a chest pain due to ischemia, and the secondary to myopericarditis in the clinic context of a sarcoidosis. Myocardial perfusion rest SPECT is required which is compatible with lateral acute myocardial infarction (AMI) with extension to inferior wall. A coronary angiography was carried out and showed two vessels disease (RCA and Cx), PTCA and stent were carried out successfully. During the admission a thoracic scintigraphy and SPECT with Gallium -67 showed an uptake in lateral wall of left ventricle (LV). Nothing about active sarcoidosis was found.