請醫師幫忙看一下是否需要做心導管，感謝 REPORT OF NUCLEAR MEDICINE STRESSREDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY 31-yr-old male is a case of chest tightness recently - referred for detection of ischemic heart disease. TECHNIQUE Following the intravenous injection of 2 mCi of Tl-201 Chloride after intravenous administration of dipyridamole Persantin 0.56 mgkg maximal dose 60 mg in 3-5 minutes SPECT imaging of the heart was performed using a Cardiac- centered CZT camera with ECG gating 8-frame acquisition. After an equilibration period of approximately 3-4 hours the patient was imaged in a similar fashion while at rest. Single photon emission tomograms of left ventricle were reconstructed in horizontal and vertical long axis as well as short axis projections. Bull' s eye analysis was performed on paired registered stressredistribution short axis images. Data of ECG-gated SPECT were analyzed and displayed. FINDINGS 1 Perfusion defects of the left ventricle LV are noted  Moderate perfusion defect at mid-to-basal lateral wall with reverse redistribution RR  partial reversibility.  RR at anterior inferior  apical lateral walls. 2 Lung uptake is normal. Lung-to-heart ratio of stress 0.25  Lung-to-heart ratio of rest 0.35 3 Extent of perfusion defects by Bull' s eye analysis  Stress → rest LAD 14→ 29 LCX 44→ 78 RCA 2→ 6.  Reversible defect LAD 11 LCX 31 RCA 2.  Fixed defects LAD 3 LCX 13 RCA 0.  Total perfusion defect stress 17 rest 37 reverse 12  Severity of perfusion defects SSS of 2 SDS of 0. 4 ECG-gated SPECT results  StressRest LVEF 5353.  No obvious wall motion abnormality.  IMPRESSION Positive MPI study is summarized below 1 Suspicious moderate ischemia at mid-to-basal lateral wall 2 StressRest LVEF 5353 No wall motion abnormality.  Remark  MPI myocardial perfusion image is focused on LV of heart.
檢查報告顯示心肌有缺氧現象，請與醫師討論是否需要做心導管。