醫生您好 我最近做運動心電圖 有缺氧的問題. 又做了心肌灌注断層掃描如下 請問是否血管塞到需積極做心導管檢查和裝支架謝謝 The Tl-201 stressredistribution myocardial perfusion SPECT shows 1. mild severity reversible perfusion defects in basal anterior wall basal anterolateral wall mid anterior wall and mid anteroseptal wall of left ventricle suggesting stress-induced myocardial ischemia. 2. moderate severity reversible perfusion defects in basal inferior wall of left ventricle suggesting stress-induced myocardial ischemia. 3. fixed perfusion defects in basal anteroseptal wall basal inferoseptal wall and basal inferolateral wall of left ventricle suggesting myocardial ischemia. 4. reverse redistribution of the thallium activity in apical anterior wall of left ventricle maybe due to damaged myocardium. Total The summed stress score is 9. The summed rest score is 5 . The percentage of stress perfusion defects is 21 ％ of total myocardium of left ventricle. The percentage of rest perfusion defects is 8 ％ of total myocardium of left ventricle.
報告顯示有心肌缺氧的現象，可以先用藥物治療，如果症狀仍控制不佳，可以再做心導管介入治療。