心肌灌注檢查結果分析：逆流與再分佈的意義及其評估建議-心臟血管專科

心肌灌注檢查？

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吳主任您好；想請教您，我4年多前曾開心修補二、三尖瓣及做主動脈瓣的懸吊術，怎麼那麼快又變成主動脈瓣中、重度的逆流呢？日前因胸部悶痛掛急診，後來醫師開了心肌灌注掃描檢查，想請你幫我看報告是否嚴重呢？需要提早回診嗎？謝謝你！麻煩您了。
Result:
Finding: A
myocardial
perfusion gated
SPECT/CT study
using Tc-99m
MIBI obtained in
both persantin-
stress and rest
status (one-day
protocol): > >
The qualitv of theThe partial
reversible
decrease of
myocardial
perfusion in the
apical to mid
anterior wall may
be due to CAD
(ischemia
combined with or
without
infarction). perfusion in the
following areas: -
- the apical to
basal inferior wall
and the basal
anterior &
anterolateral wall
under persantin-
stress status with
partial recovery
on rest status.
the apical laterai wall only on rest
status (reverse
redistribution).>
> Normal wall
motion of the left
ventricle.> >
Ejection Fraction
(EF) of the left
ventricle: Under
Stress = 72%
After Resting
63% . Impression: The partial
reversible
decrease of
myocardial
perfusion in the
apical to mid
anterior wall may
be due to CAD
(ischemia
combined with or
without
infarction). Further
evaluation is
recommended. >
> The mildly
decreased
perfusion in the
apical to basal
inferior wall and
the basal anterior
& anterolateral
wall may be duc
to mild CAD. Suggest close
follow-up.> > redistribution: In
patients with
high pretest
likelihood of CAD
but without
infarction,the
reverse
redistribution is
evaluated as
ischemia,
whereas in
subjects with lowThe reverse pretest likelihood,
this finding has
no diagnostic
value. In a patient
with a previous
myocardial
infarction,
reverse
redistribution at
the infarct site is
evaluated as a
sign of viability.redistribution in
the apical lateral
wall may have no
clinical
significance.
Suggest follow-
up..Reference for
the interpretation
of reverse

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芸芸，60~69歲女性，詢問日期：2025/01/03