心臟血管專科檢查結果分析：逆轉再分配、中下壁缺血、輕至中度損傷-心臟血管專科

想請問醫師我父親的檢查報告顯示什麼病症嗎 ?？

The Tl-201 myocardial perfusion SPECT scintiphotos were performed at 5 minutes after intravenous injection of 2.5mCi Tl-201 with dipyridamole intervention ( 0.56 mg/Kg/4 minutes Stress ) and at 4 hours after redistribution ( Rest ). Result: The Thallium-201 Myocardial Perfusion SPECT Study with Dipyridamole Stress Intervention: Reverse Redistribution: InferoLateral Wall, Inferior Wall, Basal InferoSeptal Wall, Septum, Apical AnteroSeptal Wall, Mid to Basal Lateral Wall. Mixed Myocardial Scarring with Ischemia: Mid InferoLateral Wall, Apical Septum. Severity of Lesions: Mild to Moderate Lesions. Most Prominent Lesions: Mid InferoLateral Wall, Apical Septum. Extent of Stress and Rest Defects: 13% and 10%. Transient Ischemic Dilatation ( TID ) Ratio: 1.08 ( Normal Reference: < 1.22 ) Remarks: 1. All those parameters shown in this report of the imaging were derived from the " Emory Cardiac Toolbox " ( ECTb ), a software that has been approved by FDA ( USA ) for cardiac image decision support. However, please be advised that those parameters should be further correlated with clinical features. 2. Travain, et al, Semin Nucl Med. 1999;29(4):298: Sensitivities: 83%~97%: Specificities: 38%~94%. The overall sensitivity of MPI is about 80% to 90%. ( Essentials of NM and Molecular imaging 2019;5:146 ) 3. Reverse redistribution has been shown to associate with ( 1 ) post-myocardial infarction events and/or ( 2 ) chronic coronary disease ( vascular abnormaly, in appropriate wall motion, or decrease resting flow ); however, ( 3 ) normal variant also should be considered. 4. Since the low sensitivities might be shown in clinically high-risk cases, also the low specificities might be related to referral bias and technical artifacts. Please evaluate clinically and we would like to follow up closely.