醫師您好 最近覺得有時會心悸 做了心超跟24小時心電圖無明顯異常 後來又安排了運動心電圖報告如下 想問這種狀況嚴重嗎 會需要做心導管檢查嗎 感謝您 Purpose1V Dx 2  PTCA 3  PTMV 4  Drugs 5  CABG 6  Rehabilitation 7  Arrhythmia 8  Screening 9  Others Pre-excercise ECG Blood Pressure 136103 Medications   Yes V No Patient Fasting  Yes V  No Stage SpeedGradeMPHGrade 1.710 2.512 3.414 4.216 5.18 Minutes 2’ 5’ 8’ R2’ R5’ Blood Pressure 15784 14680 - - 16596 13787 Minutes Blood Pressure      Exercise Terminated Because of A. Maximal Effort F.VDyspnea K. Chest tightness B.V90 Maximal Heart Rate Obtained G. Arrhythmia L. Can’t catch-up speed C. ST Segment Shift H. Leg Pain M. Exercise intolerane D. Chest Pain I. Hypotension N. Vasovagal Reponse E. Fatigue J. Dizziness O. Total Time9’16’’ MHR X MSBP 176X 157 27632 Maximal Achieved Rate 176 Maximal Predicated Rate187 90 Predicated Rate 167 製表者  F109051 李雅琪 INTERPRETATION OF EXERCISE ECG 1.  Normal ECG at maximal effort 2.  Normal ECG at submaximal90predicated heart rate 3.  Normal ECG at ”inadequate” heart rate of 4.  Abnormal ST junction and segment elevated 5.V Abnormal ST segment depression A.Downsloping mm B.Flat 1.7-3.1 mm II III AVF V4 V5 V6 C.Upsloping mm from j point to at least 0.08 seconds 6.  OtherSpeciafy Comment 1.V Positive 2.  Negative 3.  Inconclusivespecify 4.  Complicationspecify 5.Other
運動心電圖檢查結果為陽性，如果您能持續有胸悶胸痛的症狀，請至門診與醫師討論是否要做進一步的檢查。