心肌灌注檢查結果分析及建議-心臟血管專科

心肌灌注檢查？

醫生您好：我剛做完檢查，已經有裝一支支架，本次是因為搬家換醫院看診做的報告，因為離看約看報告預計三週後，這邊勞煩請教您檢查結果是否有再裝支架的需求？
也是希望能提前了解狀況，感謝您抽空回覆！non-smoke, non-alcohol BP 110/70P70 PE clear breath sound RHB, mildsystolic heart murmur mild leg edema血壓:137/071mmHg;脈搏:087bpm; 111/11UCG: RWMA(+), fair LVEFImage finding:* Following the intravenous injection of 2 mCi of Tl-201 chloride after standardizeddipyridamole stress protocol (dipyridamole: 0.56 mg/Kg, continuous IV infusion in 4minutes; and aminophylline 50 mg slow IV push for relief of adverse reactions), post-stress and resting gated SPECT images of the heart were acquired using a gammacamera.* SCINTIGRAPHIC FINDINGS:(1) Mildly reversible perfusion defect at apex and anterior wall.(2) Mildly fixed perfusion defect at inferior wall.(3) Increased lung uptake at bilateral lung fields. Lung/heart uptake ratio:Stress: 41%; Rest: 45%.(4) The automated semiquantitative analysis of myocardial perfusion disclosed:Summed stress score (SSS): 10;Summed rest score (SRS): 0;Summed difference score (SDS): 10.(5) Gated SPECT-estimated LVEF:Stress: 32%; Rest: 41%.(6) Gated LV motion analysis disclosed no significant hypokinesia/dyskinesia. Thetransient ischemic dilatation (TID ratio) of LV was 1.07 (Normal ＜1.1).Impression ＆ suggestion:(1) Mild stress-induced ischemia at apex and anterior wall is suspected.* Camera-estimated extent of perfusion defect: 10%; reversibility ratio: 66%.(2) Soft tissue attenuation is favored at inferior wall.(3) Impaired LV systolic function with stress-induced LV dysfunction is impressed.