心肌灌注檢查結果分析及治療建議-心臟血管專科

心肌灌注檢查？

醫師 您好因胸悶通，檢查靜態/運動心電圖都沒有心律不整，但運動心電圖的血壓僅140，之後安排心肌灌注檢查，看診醫師開慢簽『保栓通、立普妥膜衣錠、小白康肯』的用藥，說3個月後再回診，請教醫生檢查後續建議的治療方向謝謝報告內容如下：The Tl-201 stress/redistribution myocardial perfusion SPECT shows: 1. mild severity, reversible perfusion defect(s) in basal anterolateral wall and mid inferoseptal wall of left ventricle, suggesting stress-induced myocardial ischemia. 2. moderate severity, reversible perfusion defect(s) in basal anterior wall, basal inferoseptal wall and basal inferior wall of left ventricle, suggesting stress-induced myocardial ischemia. 3. fixed perfusion defect(s) in basal anteroseptal wall, basal inferolateral wall, mid inferior wall, mid inferolateral wall and apical inferior wall of left ventricle, suggesting myocardial ischemia. 4. reverse redistribution of the thallium activity in apical septum and apical lateral wall of left ventricle, maybe due to damaged myocardium. 5. transiently increased lung uptake during the stress study, suggesting stress-induced LV dysfunction. Total The summed stress score is 13. The summed rest score is 10 . The percentage of stress perfusion defects is 38 ％ of total myocardium of left ventricle. The percentage of rest perfusion defects is 12 ％ of total myocardium of left ventricle.