Clinical history  ro CAD Procedures  Following the intravenous injection of 2 mCi of Tl-201 chloride under stress condition caused by Dipyridamole 0.56mgkg iv stress SPECT imaging of the heart was performed 5 min later. Aminophylline 50 mg was also administered iv before imaging. After a period of 3-4 hrs the patient returned to the lab and was then imaged in a similar fashion while at rest. Findings  Mildly to moderately decreased perfusion to the apical anterior wall on stress images which shows partial refilling on redistribution images partially reversible defects. Conclusions  1. Likely mild to moderate CAD combined with some extent of scarring involving the apical anterior wall. 2. Further management is recommended.
您好， 從文件所述，此次檢查是為了探查冠心病的可能性，臨床醫師有時從患者的臨床表現覺得只有五成的冠心病可能性時，可能就會考慮給予心臟負荷測試來幫助診斷，其中非侵襲性的功能性的評估主要是以運動心電圖或核子醫學心肌灌注掃描，您所做的檢查是後者，但是檢查方式是事先將紅血球以放射線同位素標記，再利用藥物使冠狀動脈擴張，藉此評估冠狀動脈可擴張的儲備能力，此類檢查有其敏感性及準確性的限制，若檢查為陰性，則臨床可能性不高的前提下，大概就可以排除冠心病的可能；但此次檢查卻為陽性，且有輕度到中度灌流缺陷，受威脅血管可能是左前降動脈，這樣就不敢排除冠心病的可能；建議您與您的心臟專科醫師諮詢討論，得到最適當的治療 平安 衛福部彰化醫院關心您