運動心電圖判讀：缺氧標註代表什麼？-心臟血管專科

運動心電圖判讀？

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醫生您好 我前陣子因為胸悶呼吸不順感覺吸不滿所以有去心臟科掛號 醫生說心電圖跟心臟超音波正常 但運動心電圖有被標註缺氧 給我的解釋是心臟功能正常可能是精神方面問題 建議我再觀察 但我看報告上的標註越看越不安 可以請醫生幫我看看有什麼建議嗎

Purpose:1(V) Dx; 2( ) PTCA; 3( ) PTMV; 4() Drugs 5( ) CABG: 6( ) Rehabiltation
7( ) Arrhythmia, 8( ) Screening: 9( ) Others
Pre-excercise ECG:
Medications:
( ) Yes, (V) No
Blood Pressure: 1
142/83
Patient Fasting:( ) Yes, (V) No
Stage:
Speed/Grade(MPH/Grade): (1.7/10) (2.5/12) (
R2'
(3.4/14)
R5'
(4.2/16) (5./18)
Minutes:
2'
Blood Pressure: 155/67
163/69
181/67
163/66
139/88
Minutes:
Blood Pressure:
Exercise Terminated Because of:
A.( )Maximal Effort
F.(V)Dyspnea
K.( )Chest tightness
B.(V)90% Maximal Heart Rate Obtained G.( )Arrhythmia L.)Can't catch-up speed
C.( )ST Segment Shift
H.(V)Leg Pain
M.( )Exercise intolerane
D.( )Chest Pain
I.( )Hypotension N.( )Vasovagal Reponse
E.( )Fatigue
J.( )Dizziness
Total Time:9:22
MHR X MSBP: 171X 181= 30951
Maximal Achieved Rate: 171
Maximal Predicated Rate:189
90% Predicated Rate: 169

INTERPRETATION OF EXERCISE ECG
1.( ) Normal ECG at maximal effort
2 () Normal ECG at submaximal(90%)predicated heart rate
3.( ) Normal ECG at "inadequate" heart rate of
4.( )Abnormal ST junction and segment elevated
5.(V) Abnormal ST segment depression:
A.Downsloping
mm
B.Flat
1.0 mm V6
C.Upsloping
mm
(from j point to at least 0.08 seconds)
6.( ) Other(Speciafy)
Comment: 1.(V) Positive borderline
2.( ) Negative
3.( ) Inconclusive(specify)
4.( ) Complication(specify)
5.Other

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tsao，30~39歲男性，詢問日期：2024/07/29