%0 Journal Article %T Cintilografia mioc¨¢rdica com estresse mental na investiga£¿£¿o de dor tor¨¢cica %A Silva %A L¨ªvia Maria Lima da %A Barbirato %A Gustavo Borges %A Drumond Neto %A Cant¨ªdio %A N¨®brega %A Antonio Claudio Lucas da %A Coimbra %A Alexandro %A Mesquita %A Claudio Tinoco %J Arquivos Brasileiros de Cardiologia %D 2009 %I Sociedade Brasileira de Cardiologia - SBC %R 10.1590/S0066-782X2009001000024 %X thoracic pain is a common symptom in emergency services, and stress radionuclide imaging represents one of the phases of risk stratification in these individuals. however, a group of patients with negative functional exams after physical or pharmacological stress develops myocardial ischemia during this psychological stress. alterations in vascular tonus as a response to endogenous mechanisms are the physiopathologic basis for such alterations. we report a case that illustrates how mental stress radionuclide imaging has the potential to be used in the assessment of myocardial ischemia non-detected by conventional methods in patients with suspicion of ischemic thoracic pain. %K radionuclide imaging %K psychological stress %K myocardial ischemia. %U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0066-782X2009001000024&lng=en&nrm=iso&tlng=en