醫生您好：我剛做完檢查，已經有裝一支支架，本次是因為搬家換醫院看診做的報告，因為離看約看報告預計三週後，這邊勞煩請教您檢查結果是否有再裝支架的需求？也是希望能提前了解狀況，感謝您抽空回覆！ non-smoke non-alcohol BP 11070P70 PE clear breath sound RHB mild systolic heart murmur mild leg edema血壓137071mmHg脈搏087bpm 11111 UCG RWMA fair LVEF Image finding  Following the intravenous injection of 2 mCi of Tl-201 chloride after standardized dipyridamole stress protocol dipyridamole 0.56 mgKg continuous IV infusion in 4 minutes and aminophylline 50 mg slow IV push for relief of adverse reactions post- stress and resting gated SPECT images of the heart were acquired using a gamma camera.  SCINTIGRAPHIC FINDINGS 1 Mildly reversible perfusion defect at apex and anterior wall. 2 Mildly fixed perfusion defect at inferior wall. 3 Increased lung uptake at bilateral lung fields. Lungheart uptake ratio Stress 41 Rest 45. 4 The automated semiquantitative analysis of myocardial perfusion disclosed Summed stress score SSS 10 Summed rest score SRS 0 Summed difference score SDS 10. 5 Gated SPECT-estimated LVEF Stress 32 Rest 41. 6 Gated LV motion analysis disclosed no significant hypokinesiadyskinesia. The transient ischemic dilatation TID ratio of LV was 1.07 Normal ＜1.1. Impression ＆ suggestion 1 Mild stress-induced ischemia at apex and anterior wall is suspected.  Camera-estimated extent of perfusion defect 10 reversibility ratio 66. 2 Soft tissue attenuation is favored at inferior wall. 3 Impaired LV systolic function with stress-induced LV dysfunction is impressed.
報告顯示有輕度的心肌缺氧，如果症狀輕微可以吃藥控制，門診定期追蹤即可，不一定要做心導管。