心臟血管專科檢查報告分析：母親的心電圖異常及心肌灌注掃描結果-心臟血管專科

檢查報告諮詢？

請教主任，媽媽今年因為車禍骨折，在手術前做了心電圖發現有異常，骨折術後即安排了心臟檢查，想請主任協助報告內容，大致上是有哪些要注意的，感恩萬分 報告如下：壓力與重分佈心肌斷層灌注掃描Dipyridamole Tl 201 myocardial perfusion SPECT: 1.Persantin 0.56 mg/kg was administered by intravenous infusion for 4 minutes, as a standard protocol. 2mCi of thallium was given intravenously after 2 mins. 125mg aminothylline I.V slowly pushed 3mins after thallium injection because of dipyridamole common side effect,such as headache,dizziness,chest tightness. 2.Acquisition:supine position,64＊64 matrix,noncircular orbit,continuous mode,180 degree SPECT,30seconds per view for 30views in stress images and 35seconds per view for 30views in redistribution images. 3.The result revealed : Stress SPECT imaging :reduced myocardial perfusion at apical wall of LV. Redistribution SPECT imaging:homogeneous myocardial perfusion at global walls of LV. 4.The above finding suggested probable abnormality of MPI result: reversible perfusion defect at apical wall of LV.杜卜勒氏彩色心臟血流圖診斷結果: M-mode / 2D: 1. Preserved LV/RV systolic function without chamber dilatation. 2. No pericardial effusion 3. Mild LVH. Doppler / color flow findings: 1. Mild MR and TR. 2. E/A reverse, E/E’= 10.8, suggest impaired LV relaxation. 報告內容: [Indication]sus. CAD Tw inversion AO 32 mm(20-37) IVS 9. mm(7-10) LVET Ms LVEF 61.9 % AV 15 mm(16-26) LVPW 9. mm(8-13) M-EPSS mm LV mass 181 gm LA 30 mm(19-40) LVEDD 52 mm(35-53) EF slope cm/S RV mm(5-21) LVESD 35 mm(20-35) LVEDV 13 [Aorta ＆ Aortic] [Rt/IVS] [Mitral Valve] [LV] [Other] [Color Flow Mapping] [Doppler Waveform ＆ Measurements] MV E wave58cm/S MV A wave88cm/S [Conclusion] M-mode / 2D: 1. Preserved LV/RV systolic function without chamber dilatation. 2. No pericardial effusion 3. Mild LVH. Doppler / color flow findings: 1. Mild MR and TR. 2. E/A reverse, E/E’= 10.8, suggest impaired LV relaxation.