心臟血管阻塞與心律不整：如何解讀檢查報告？-心臟血管專科

請教主任檢查報告問題？

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主任您好:
麻煩您幫我看這二份報告,並請問:(1)心血管阻塞嚴重嗎?需做心導管嗎?(2)心臟之心律不整嚴重嗎?(心臟超音波正常)
萬分感謝!
(1).心肌灌注斷層掃描:
IMP : The study suggest
possible myocardial ischemia in lateral wall of
LV(LCX).
T1-201 myocardial scan with SPEC at persantin incluced stress and 4 hrs of redistribution show slightly reversible perfusion defect in lateral wall. The SSS and SRS is 3 and 0 with difference 3. Totally 3# persantin is given and 2-3 mCi of T1-201 is injected to the body. The study suggest possible myocardial ischemia in lateral wall of LV(LCX).

(2).24小時心電圖:
IMP : 1 AT run, rare isolated APCs.
1. Sinus rhythm with HR 59-110/min.
2. 1 AT run( 3 beats ) at 11:05:54.
3. Rare isolated APCs( 14 beats)
HOLTER REPORT
General:
107884 QRS complexes
0 Ventricular beats(<1%)
21 Supraventricular beats(<1%)
<1 % of total time classified as noise
Heart Rates :
59 Minimum at 21:07:25 23 - MAR
76 Average
110 Maximum at 07:36:24 24 - MAR
2131 Beats in tachycardia (>100 bpm), 2% total
68 Beats in bradycardia (>60 bpm), <1% total
1.56 Seconds MAX R-R at 23:33:09 23- MAR
Ventriculars(V,F,E,I):
0 Isolated
0 Couplets
0 Bigeminal cycles
0 Runs totaling 0 beats
Supraventriculars(S,J,A):
14 Isolated
2 Couplets
0 Bigeminal cycles
1 Run totaling 3 beats
3 Beats longest run 147 bpm 11:05:54 23-MAR

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李振芳，60~69歲男性，詢問日期：2019/06/25