Case Report

Anomalous Origin of the Right Coronary Artery Causing Myocardial Ischemia: A Case for a Multimodality Imaging Approach

Figure 5

(a, b) The patient achieved 11 METS on a modified Bruce protocol but developed symptomatic chest discomfort and inferior lead ST-segment depressions at peak exercise persisting 1 minute into recovery. SPECT images demonstrated a reversible inferior wall perfusion deficit.
(a)
(b)