心肌灌注掃描結果解讀及治療建議-心臟血管專科

心肌灌注掃描與後續之處置？

李醫師您好，我的BMI屬正常範圍、無任何不良嗜好，去年12月初因施打BNT疫苗不適，陸續至醫院抽血檢查，除了膽固醇數值偏高(HDL/LDL/Cholesterol分別為73/135/214)外並無異常，其後做了心電圖、24小時心電圖、心臟超音波檢查，醫生表示需再做壓力與重分佈心肌斷層灌注掃描才能確認情況，這一個半月來積極控制飲食，再做抽血檢查時膽固醇已屬正常(HDL/LDL/Cholesterol分別為67/112/183)，因逢大型考試將心肌灌注檢查推遲至前天才做完，報告內容如下：Clinical history : r/o CADProcedures : Following the intravenous injection of 2 mCi of Tl-201 chloride under stress condition caused by Dipyridamole 0.56mg/kg iv, stress SPECT imaging of the heart was performed 5 min later. Aminophylline 50 mg was also administered iv before imaging. After a period of 3-4 hrs, the patient returned to the lab and was then imaged in a similar fashion while at rest.Findings : 1. Mildly to moderately decreased perfusion to the apex, anterior and inferoseptal wall on stress images, which shows refilling on redistribution images. 2. No other reversible defects are noted in other walls.Conclusions : 1. Likely mild to moderate CAD involving the apex, anterior and inferoseptal wall. 2. Further management is recommended if clinically indicated.請問李醫師，心肌輕度缺氧的處置能否透過吃藥改善？
在健康飲食及規律作息、運動的情況下需要做心導管檢查嗎？
感謝您！