運動心電圖正常，但壓力與重分佈心肌斷層灌注掃描顯示中度缺氧狀況-心臟血管專科

運動心電圖，心肌缺氧？

吳醫生你好：這是我的運動心電圖報告Result: Interpretation of Exercise ECG : Normal ECG at target HR (85% predicted maximal HR) Conclusion : The TET is NEGATIVE for myocardial ischemia 許容綺-回診時醫生是說沒什麼問題！！但是在做壓力與重分佈心肌斷層灌注掃描時卻有中度缺氧狀況！！報告如下申請序號：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-請問一般人如果沒有要求再仔細檢查的話是不是就錯失機會了..想請問你我的運動心電圖報告是沒問題的嗎？