何醫師你好 家人心臟不舒服 不久前再去檢查心臟，麻煩您幫我解讀以下報告： 我們只懂被轉去做CABG手術. 請幫忙看看，感謝 1.	IHD → Echo EF 45  akinetic anteroseptal region from mid to apical level no pericardial effusion valvular lesion → CC 102016 normal LM pLAD total mLAD 70 dLAD filled by collateral disuse LCx 30 pRCA 30 mRCA 30 dRCA 50 long → PTCS to dLAD Biomatrix 2.5 x 38 p-mLAD Biomatrix 3.0 x 39 2.	DM  HT ↑lipid 3.	Widen mediastinum FU Vascular Surg defaulted CT Defaulted FU and med 2017-2020 He co post PCI chest pain. There was occ vague chest discomfort but never try TNG before Clinically remained NYHA class 1. lx results were as followed Coro by RRA approach dLMS 20 pLAD ISR 30 mLAD focal ISR 80-90 pLCx 80 with post stenotic aneurysm dLCx diffuse 20 big pRCA CTO with bridging collateral mRCA diffuse 80 dRCA 90 PL 90 Echo Normal LV size dilated LA. LVEF 53 severe hypokinetic dIVS and apex triial MR. Please kindly review this patient for consideration of CABG. Thank you so much.
您好 總之就是3條血管都有問題 右冠狀動脈完全阻塞 至於是否要CABG 應看患者的年紀 體力 導管片等來決定 平安 彰化醫院關心您