Clinical Research Directory

Inclusion Criteria: * Abnormal Myocardial stress perfusion (SPECT) LV EF \> 25% * 18 years of age or above * Patients referred to a stress test by a Cardiologist * Acute Chest pain, as per patient input. * Risk Assessment with prior test results and/or previous history of known chronic stable CAD. * Borderline or discordant stress testing where obstructive CAD remains a concern. * New or worsening symptoms- Abnormal coronary angiography or abnormal prior stress imaging study. * Coronary stenosis or anatomic abnormality of uncertain significance. * In absence of reliable diagnostic information from another imaging modality. Exclusion Criteria: * Serum Creatinine \> 2.5 gm/dL * Type II HIT * Left ventricular ejection fraction less the 25% determined by gated SPECT imaging ( - LV \< or + to 25%) * Non-dialysis dependent chronic kidney disease with baseline serum creatinine greater than 2.5 gm/dL. * History of type II heparin-induced thrombocytopenia. * Significant co-morbid condition that is medically unstable and would make coronary angiography prohibitive or contraindicated. * Pregnant women. * Incapacitated for Consent