PAN-FU KAO2026-10-162026-10-162010-02-01Pure ID: 15058815Pure UUID: 38b6a444-0eed-48ef-ac35-10fbaa4a824410.1097/RLU.0b013e3181c7be78https://www.scopus.com/pages/publications/76149131749https://scholars.csmu.edu.tw/handle/123456789/28076A 46-year-old man complained of exertional dyspnea associated with chest tightness and was referred for a myocardial perfusion scan. The treadmill exercise test while achieving an 89% of target heart rate was negative for ischemia. The Tc-99m sestamibi myocardial perfusion single photon emission computed tomography (SPECT) revealed a fixed perfusion defect at the midportion of the anterior wall of the left ventricle (LV). Tracing back the clinical history, the patient admitted a cardiac stab injury about 12 years earlier. The left ventricular cine-angiography revealed akinesia in the anteroseptal wall of the LV with normal coronary angiography. It was concluded that a myocardial scar following a cardiac stab injury may not be associated with coronary artery damage.2enjournal article