解讀電腦斷層冠狀動脈攝影報告：冠狀動脈狀況、治療建議與運動限制-心臟血管專科

請幫我解讀電腦斷層冠狀動脈攝影報告？

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何醫師您好：
麻煩請您幫我解讀以下的電腦斷層冠狀動脈攝影報告→

TECHNIQUE:
After a non-contrast localizing scout image was obtained, a timing bolus acquisition at
the level of the aortic root was performed, followed by a post-contrast coronary CTA
acquisition, according to department protocol.
3D images were obtained and reviewed.
MEDICATION:
Sublingual nitroglycerine was administered.
FINDINGS:
NONCARDIAC FINDINGS: There are nosignificant incidental non cardiac findings.
CORONARY ARTERIES:
There is right coronary artery dominance. The coronary artery ostia are in normal
position.
LEFT MAIN:The left main coronary artery is patent without significant stenosis or
plaque.
LEFT ANTERIOR DESCENDING:The LAD shows partially calcified plaque at LAD-p with mild
wall irregularity. Myocardial embedding of LAD-m is present.
LEFT CIRCUMFLEX: The left circumflex artery is patent and shows no evidence of
significant stenosis or plaque.
RIGHT CORONARY ARTERY: The RCA is patent and shows no evidence of significant stenosis or
plaque.
IMPRESSION:
Myocardial embedding of LAD-m.
Partially calcified plaque at LAD-p with mild wall irregularity.

請問：
(1)冠狀動脈是否有任何阻塞或狹窄？

(2)醫師說我有條冠狀動脈有點夾到肉，但實際上我並無任何胸悶或胸痛現象，
是否需積極治療？

(3)是否因冠狀動脈有夾到肉，才會造成做運動心電圖時報告顯示陽性反應？

(4)此份報告是否還有其它潛在的問題？

(5)因冠狀動脈有夾肉問題，我還可以每天正常做運動嗎？(例如慢跑)

謝謝醫師。

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三重王先生，30~39歲男性，詢問日期：2017/04/19