心肌灌注報告解讀：異常發現與可能疾病-心臟血管專科

心肌灌注報告解讀？

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Imaging findings: Dipyridamole Tl 201 myocardial perfusion Gated SPECT: 1 .Persantin 0.56 mg/kg was administered by intravenous infusion for 4 minutes, as a standard protocol. During stress test, BP drop from 130/77 to 112/70 mmHg and HR from 62 to 76 bpm. The body weight is 73 kg . The SPECT analysis was done with Astonish and FBP algorithm (Philips Bright View). myocardial hypertrophy) ; inflated lung with faint bilateral pulmonary radioactivity; dilated RV with heterogeneous wall avidity; TID:0.97;LHR:0.31; functional kidneys; heterogeneously reduced thallium avid thyroid; y heterogeneous perfusion with mild reduction in the apical, inferoapical, inferior and susp proximal anteroseptal walls. -estimated Gated LVEF: 59%; septoapical dyskinesia. Redistribution SPECT imaging: -heterogeneously mild reversible redistribution in the anteroseptal, septal, inferior and lateroapical wall s; susp anteroapical injury.3. The above finding suggested: -positive result of MPI as chronic ischemic heart disease with heterogeneously mild reversibility in the anteroseptal, septal, inferior and lateroapical walls; susp apical injury. Impression: 1.The MPI is consistent with chronic ischemic he art disease, associated with heterogeneous mild reversibility, largely in the anteroseptal, septal, inferior and lateroapical walls.susp occult CAD (LAD), please correlate with clinic.2.Well LVEF (59%) during stress study.susp RV strain.3.susp COPD.感謝~