心肌灌注檢查結果顯示左心室末端血管阻塞，該如何處理？-心臟血管專科

極度踏車運動試驗 和 心肌灌注報告？

醫生您好近一年來有胸悶 心悸等狀況 分別到醫院做了以下2種檢查最近這次的心肌灌注檢查報告圖片說有心臟末端血管的阻塞醫生開了bokey的藥，我擔心如果吃了心血管相關的藥物就要一輩子吃藥。
目前也沒有三高，生活作息正常，平常有慢跑習慣，戒菸10年了。
醫生建議我再做心臟電腦斷層檢查以下是2種檢查的報告麻煩醫生給我些建議極度踏車運動試驗GXT 20220803檢查1.The baseline EKG was normal sinus rhythm2.Totaal exercise time was 9:38 minutes.The maximal cardiac workload was 166BPM and 93%target heartrate was achieved.Treadmill exercise test was terminated3.No significant ST change was noted during exercise and recovery phase.4.Conclusion:negative for treadmill exercise test.心肌灌注造影的報告20230316檢查Finding(s) /Interpretation(s)Scintigraphic findings:The Tc-99m sestamibi stress /rest myocardialperfusion gated single photon emission commputed tomography(SPECT)scan shows :1 Moderate severity, reversible perfusiondefects in the anterior wall, mid anteroseptal wall,apical/basalinferior wall and inferolateral wall of the left ventricle,suggesting stress-induced myocardial ischemia.2.Fixed perfusion defects/reverse redistribution of the fhallium activity in the apex,apical anteroseptal wall,basal inferoseptal wall and mid inferior wall of the left ventricle,maybe due to myocardialischemia/damaged myocardium3.No significant regional wall motion abnormality in the left ventricle4.Ejction Fractuon(EF)of left ventricle:Stress EF=60% Resting EF=55% Furthercorrelation/management and colose follow-up should be recommended.