心肌缺氧新標題建議：心肌缺氧程度及治療建議：根據壓力與重分佈心肌斷層灌注掃描報告分析-心臟血管專科

心肌缺氧？

吳醫生你好：我在3/30號有去醫院做（壓力與重分佈心肌斷層灌注掃描）並於4/14號回去看報告當時醫生僅說心肌有中度缺氧狀況，直接問我是否要做心導管檢查！！！當下我真的愣住了都還沒反應過來，僅說回家跟家人討論時間！！無意間上網查詢（壓力與重分佈心肌斷層灌注掃描）的用意時發現，我回診時都沒看到醫生有在看什麼報告或圖片等等……我想請問我在健保app查到我的報告，想請你幫我看看報告的結果。
申請序號：Result: 檢體： 工作號： Result: 楊宗翰-NUCLEAR MEDICINE STUDY: Thallium-201 EKG-gated myocardial perfusion imaging (MPI), dipyridamole & resting. INDICATION: Evaluating the presence and severity of CAD. RADIOPHARMACEUTICAL: Intravenous 2.5 mCi Tl-201 SCINTIGRAPHIC FINDINGS: * Thallium-201 myocardial perfusion imaging with EKG-gated SPECT was performed after standardized dipyridamole stress protocol (dipyridamole 0.56 mg/kg continuous IV push in 4 minutes and aminophylline 100 mg IV push for symptom relief) and at rest. * The initial and 4-hour delayed images showed (1) moderate reversible perfusion defects in basal anterolateral wall, basal septal wall, and basal anterior wall of LV; mild reversible perfusion defects in inferolateral wall, apical anterior wall, middle to basal inferior wall, and apical to middle inferoseptal wall of LV; mild fixed perfusion defect in apex of LV (2) normal pulmonary radiotracer uptake (Lung/Heart ratio, stress/resting: 0.46/0.53). * Gated SPECT (8 frames per cardiac cycle, estimated by QGS method): - Post-stress LVEF = 71%; resting LVEF = 66%. - Post-stress LV EDV = 89 ml, ESV = 26 ml; resting LV EDV = 81 ml, ESV = 28 ml. - Regional wall motion: no signifcant abnormality in wall motion of LV. IMPRESSION: (1) Moderate stress-induced ischemia in basal anterolateral wall (LCx territory), basal septal wall, and basal anterior wall (LAD territory) of LV. (2) Mild stress-induced ischemia in inferolateral wall (LCx territory), apical anterior wall (LAD territory), middle to basal inferior wall, and apical to middle inferoseptal wall (RCA territory) of LV. (3) Attenuation artifact or hibernating tissue with mild ischemia in apex of LV. (4) Fair LV contractility. 楊宗翰-請吳醫生替我看看報告的內容是否真的心肌缺氧嚴重。
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