運動後心電圖及壓力與重分佈心肌斷層灌注掃描結果分析-心臟血管專科

運動心電圖相關問題？

想詢問本人這份報告中 是否有指出心臟相關問題 是否嚴重 附上其餘相關心臟檢查Purpose:1(V) Dx; 2( ) PTCA; 3( ) PTMV; 4( ) Drugs; 5( ) CABG; 6( ) Rehabilitation7( ) Arrhythmia; 8( ) Screening; 9( ) OthersPre-excercise ECG: Blood Pressure: 117/79Medications: ( ) Yes, (V) NoPatient Fasting:( ) Yes, (V ) NoStage:Speed/Grade(MPH/Grade): (1.7/10) (2.5/12) (3.4/14) (4.2/16) (5./18)Minutes: 2’ 5’ 8’ R2’ R5’Blood Pressure: 149/80 186/78 175/76 155/60 140/61Minutes:Blood Pressure: / / / / /Exercise Terminated Because of:A.( )Maximal Effort F.(V)Dyspnea K.( )Chest tightnessB.(V)90% Maximal Heart Rate Obtained G.( )Arrhythmia L.( )Can’t catch-up speedC.( )ST Segment Shift H.( )Leg Pain M.( )Exercise intoleraneD.( )Chest Pain I.( )Hypotension N.( )Vasovagal ReponseE.( )Fatigue J.( )Dizziness O.Total Time:9’11’’ MHR X MSBP: 179X 186= 33294Maximal Achieved Rate: 179Maximal Predicated Rate:19790% Predicated Rate: 177 製表者 : F104246 張瑋涵INTERPRETATION OF EXERCISE ECG1.( ) Normal ECG at maximal effort2.( ) Normal ECG at submaximal(90%)predicated heart rate3.( ) Normal ECG at ”inadequate” heart rate of4.( ) Abnormal ST junction and segment elevated5.(V) Abnormal ST segment depression:A.Downsloping mmB.Flat 1 mm V5C.Upsloping mm(from j point to at least 0.08 seconds)6.( ) Other(Speciafy)Comment: 1.( ) Positive2.(V) Negative3.( ) Inconclusive(specify)4.( ) Complication(specify)5.Other壓力與重分佈心肌斷層灌注掃描Report: The Tl-201 myocardial perfusion SPECT study was performed with dipyridamole pharmacologic stress. Intravenous dipyridamole was administered at a rate of 0.1 42 mg/kg/min for 4 min. The administered dose was 8.2 ml (5mg/ml). The patient experienced headache/dizziness during the stress test, and the symptom was relieved by aminophylline. The Tl-201 myocardial perfusion SPECT study performed 5 mins after intravenous injection of Tl-201 and 4 hours later revealed homogeneous distribution of radioactivity in myocardium of LV in each study. The EKG-gated functional study showed: Stress LVEF=72%, Rest LVEF=68%. Stress defect: 12% of total myocardium Reversibility: 78% of total (LAD: 50%, LCX: 70%, RCA: 0%). Impression: - No evidence of myocardial infarction or ischemia. Memo: Preparation by 許超英 | Draft by 張思瀚杜卜勒氏彩色心臟血流圖Report: Echo machine： Patient source： 【Atrium and Aortic Root】 AO (mm) = 29 LA (mm) = 31 【Left Ventricle】 IVS (mm) = 9 PW (mm) = 9 EDD (mm) = 50 ESD (mm) = 29 EDV (ml) = ESV (ml) = LV mass (g) = LVEF： by M-mode measurement：71 % LV Wall motion: Normal wall motion 【Right Ventricle】 TAPSE＝mm 【Diastolic function】 Mitral inflow　E/A：? （E/A ratio:） Septal E/e：； Lateral E/e：； 【Valve】 MS: nil; MR: nil; AS: nil; AR: nil; TS: nil; TR: nil; PS: nil; PR: nil; 【Other findings】 IVC diameter：mm with sniff collapse ＞ 50% Intracardiac vegetation： Pericardial effusion：None Intracardiac thrombus：No Congenital lesions：NoneConclusion: 1. No cardiac chamber dilatation 2. Normal LV systolic function with normal wall motion 3. Normal RV systolic function 4. Equivocal MV prolapse