心肌灌注造影報告：LAD及RCA區域異常表現-心臟血管專科

心肌灌注檢查報告？

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謝謝您Complaints : 檢查項目 :Exercise TL-201 myocardial perfusion SPECT Conclusion Tl-201 myocardial perfusion SPECT imaging is performed at 5’ after I.V. injection of 1.5 mCi Tl- 201 with dipyridamole intervention (0.56 mg/Kg/4 min) and at 4 hours after redistribution. Findings: No typical chest pain is noted during stress intervention. Stress and rest SPECT: LAD territory: large moderate partial reversible perfusion defect in anteroseptal wall and apicoseptal wall RCA territory: large severe partial reversible perfusion defect in inferior wall and inferolateral wall Extent of stress and rest perfusion defect: 12 % and 11 %. TID(Transient ischemic dilatation) ratio: 1.05, normal＜ 1.22. LHR: 0.28, normal ＜ 0.44.Conclusions: The stress and rest perfusion imaging study is abnormal. A large area of moderate myocardial ischemia in the LAD territory (anterior wall, septal wall and apicoseptal wall) is suspected. A large area of severe myocardial ischemia in the RCA territory (inferior wall, inferolateral wall) cannot be ruled out. DDx: artefact resulted from diaphragm attenuation effect.