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We report a case in which resting MPI was pivotal in diagnosing acute myocardial infarction and expedited the appropriate reperfusion strategy. Copyright ? 2010 Wiley Periodicals, http://www.selleckchem.com/screening/tyrosine-kinase-inhibitor-library.html Inc. ""A 52-y-old man presented with a history of progressive right-sided heart failure. Examination revealed marked jugular vein distention, ascites, and edema of the leg. He had no history of tuberculosis. Chest film (Figure 1A) showed mild cardiac enlargement and extensive, dense calcification of the pericardium. Because of suspected constrictive pericarditis, cardiac 64-row multidetector CT was performed, which revealed markedly calcified pericardium over the anterolateral and inferior heart surfaces (Figure 1B�CD). Simultaneous right- and left-heart catheterization showed elevation and equalization of diastolic pressures with a characteristic dip and plateau consistent with constrictive pericarditis. The patient consequently was referred to cardiothoracic surgery. Cardiac MDCT is a useful 3-D diagnostic modality for visualization of constrictive pericarditis.1 ""In 2011, all cardiologists http://en.wikipedia.org/wiki/VAV2 believe that rapid opening of the infarct-related artery is critical to enhanced survival. The preferred way to open an occluded vessel is percutaneous intervention (PCI), but thrombolytic therapy remains a viable option in hospitals when PCI capability is not immediately available. ? 2011 Wiley Periodicals, Inc. The author has no funding, financial relationships, or conflicts of interest to disclose. The current metric that is used to judge appropriate http://www.selleckchem.com/GSK-3.html management of acute ST segment elevation myocardial infarction is door-to-balloon (D2B) time. The metric of D2B is easy to measure and can be documented accurately. Cannon and colleagues published data in a cohort of more than 27 000 patients treated with urgent percutaneous coronary intervention and found that D2B times longer than 2 hours was an important factor related to mortality.1 D2B time 40%. An unfavorable outcome correlates well with a large amount of necrosis and an ejection fraction of