心肌灌注檢查結果分析：輕度缺血及CAD高風險-心臟血管專科

請問：心肌灌注現實我有什麼問題？如何處理？非常感謝🙏？

檢查日期 2023/08/21 16:09:45檢查摘要 26025:Stress & redistribution myocardial perfusion study with SPECT報告內容 History: Chest tightness or pain(+), DOE(-), EKG (+)inferior QSUnable to do treadmill exercise test owing to exercise intolerance.Risk factors: DM(+), hypertension(), dyslipidemia(+), smoking(), FHx()Procedure:1. Intravenous injection of 10 mCi of Tc-99m sestamibi2. Intake of high lipid diet (eg, egg) 20 minutes later3. Acquire gated rest myocardial perfusion SPECT with CT attenuation correction4. Intravenous infusion of 0.56 mg/kg dipyridamole (Persantin) at 30 minutes after rest imaging5. Intravenous injection of 30 mCi of Tc-99m sestamibi6. Intake of high lipid diet (eg, egg) 20 minutes later7. Acquire gated stress myocardial perfusion SPECT with CT attenuation correctionFindings:1. A small-size mild-degree reversible perfusion defect in apical anterior, apical-mid inferolateral segments.2. The SSS (summed stress score)=3 (4% of LV, 3/68).The SRS (summed rest score)=1 (2% of LV, 1/68).The SDS (summed difference score)=2 (3% of LV, 2/68).3. No dys-synchrony or regional wall motion abnormality of left ventricle was noted in this study.4. Post-stress LVEF>70%, post-stress LVEDV/LVESV=57/3 mL, rest LVEF>70%.Impression:1. Mild-degree myocardial perfusion SPECT.2. High probability of CAD with mild ischemia in RCA (and LAD?) territory.3. Normal LV systolic function.Suggestion:1. Please correlate with clinical & echocardiographic findings.2. Medical treatment first.--報告導師報告日期 2023/08/22 01:03:37