心臟血管專科：心肌灌注檢查結果分析及後續處理建議-心臟血管專科

心肌灌注檢查？

您好，想請問以下檢查結果是否確認心臟有問題呢，有需要安排心導管檢查嗎？
謝謝醫師回答，非常感謝您PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY RESULT: 1) Mild irreversible perfusion defect, small extent, in the mid-to-basal anterior and infero-apical walls of the left ventricle. 2) The LV ejection fraction is 56% during stress, and 51% at rest. (＞45%) 3) The end diastolic volume is 73 ml during stress, and 75 ml at rest. 4) The end systolic volume is 33 ml during stress, and 37 ml at rest. (＜70ml) 5) Peak filling rate is 2.48 EDV/s .(＞1.6) 6) Time to peak filling is 142 ms. (＜190) 7) A histiogram bandwidth(o) is 24.(＜72.5) 8) Phase SD(o) is 5.5.(＜19.6) 9) Mild hypokinesis in the septal wall of LV. 10) SSS is 4. (low risk: 4-8, moderate risk: 8.1-12, high risk: ＞12) 11) TPD is 6%. (minimal: ＜5%, mild: 5.0%-9.9%, moderate to severe: ≧10%) 12) Transient ischemic dilatation (TID) ratio is 0.96. (＜1.22) It is our understanding that the patient had positive treadmill (2024/02), family Hx of CAD with left lower chest pain for years, frequent episode during cold weather last year. Impression: 1) Mild CAD involving the infero-apical wall (small extent, ＜1% of total myocardium) of the left ventricle. 2) Breast attenuation of the mid-to-basal anterior wall of the left ventricle should be considered. 3) Follow-up examination is recommended.