輕度心肌缺氧如何處理輕度心肌缺氧及相關疾病風險-心臟血管專科

輕度心肌缺氧？

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何醫生您好我從18歲就醫院量測就會高血壓三十歲以後有吃血壓藥目前40歲每天都有吃易安穩5/802010年11月做過健康檢查時報告有寫運動心電圖無法判定是否有心肌缺氧建議找心臟內科追蹤但當時我沒注意到忽略了2022年9月因為運動心電圖陽性醫生在2022年10月幫我做心肌灌注檢查結果如下Hypertensive heart disease without heart failureImaging findings：Dipyridamole Thallium 201 myocardial perfusion gated single photon emission computed tomography (SPECT):1.Persantin 0.56 mg/kg was administered by intravenous infusion for 4 minutes, as a standard protocol. 2.The result revealed: Stress SPECT imaging: -planar imaging: heterogeneous perfusion in the heart. -Transient ischemic dilatation (TID): 0.86; Lung-to-heart ratio (LHR): 0.31. -estimated left ventricular ejection fraction (LVEF): 74%; -SPECT imaging: heterogeneous myocardial perfusion in the global LV walls with relatively decreased perfusion in the mid inferolateral wall of LV. Redistribution SPECT imaging: -partial tonearly complete reversible redistribution in the above described walls of LV. 3.The above finding suggested: -certain abnormality of myocardial perfusion imaging (MPI) result: mild reversible perfusion defect in above described walls of LV.Impression：The myocardial perfusion imaging reveals mild myocardial ischemia in the mid inferolateral wall of LV.主治醫生說檢查結果輕微心肌缺氧2022年9月抽血量的低膽固醇111 高膽固醇44.9 總膽固醇173 三酸甘油脂43目前身體也沒明顯不舒服但他覺得我狀況還不用到心導管檢查只要我控制好血壓。
半年到一年要固定量血脂。
要運動，飲食清淡把壞膽固醇控制在130以下請問何醫生覺得我是否維持現狀就好還是需要去找別的醫生會開一輩子控制血脂或抗凝血的藥嗎？
像阿斯匹靈之類的藥？

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阿彥，40~49歲男性，詢問日期：2022/10/24