心肌灌注掃描：檢測心臟冠狀動脈疾病-心臟血管專科

心肌灌注掃描？

在檢查前已有多次不舒服在12/13時做的檢查Clinical history : r/o CAD Procedures : 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. Moderately decreased perfusion to the apex and apical/mid anterior wall, mildly the basal inferoseptal wall on stress images, both of which show good refilling on redistribution images (reversible defects). 2. No other reversible defects are noted in other walls. Conclusions : 1. Likely moderate CAD involving the apex and apical/mid anterior wall. 2. Likely mild CAD involving the basal inferoseptal wall. 3. Further management is recommended if clinically indicated. Reporter: 林虔睦 Supervisor: 林虔睦