楼主:
Rockdog (摇滚狗)
2024-04-11 11:56:43前阵子因胸闷不舒服去急诊,医师排了前天做检查,报告如下:
The Tl-201 stress/redistribution myocardial perfusion SPECT shows:
1. mild severity, reversible perfusion defect(s) in basal anteroseptal wall,
mid anterior wall and apical anterior wall of left ventricle, suggesting
stress-induced myocardial ischemia.
2. moderate severity, reversible perfusion defect(s) in basal inferoseptal
wall of left ventricle, suggesting stress-induced myocardial ischemia.
3. fixed perfusion defect(s) in basal inferior wall, mid inferior wall and
mid inferolateral wall of left ventricle, suggesting myocardial ischemia.
4. reverse redistribution of the thallium activity in basal inferolateral
wall of left ventricle, maybe due to damaged myocardium.
Total The summed stress score is 10.
The summed rest score is 7 .
The percentage of stress perfusion defects is 41 % of total myocardium of
left ventricle.
The percentage of rest perfusion defects is 42 % of total myocardium of left
ventricle.
医师建议:
1、做心导管检查,不ok就直接装支架。检查健保有给付要住院3天,支架建议自费装好一
点的。
2、自费电脑断层检查(2万5),但也有打显影剂的风险(心导管也要打),检查出来有问题
还要要做心导管。
3、继续吃降血压跟降胆固醇,搭配运动,一个月后再回诊拿药。
如再有不舒服就再安排检查一次。
想请益有相关经验或专业的版友,我该采取哪一建议?谢谢
作者: H122859603 (话PLAY) 2024-04-11 20:11:00
我做过三次心导管 装个两次支架的经验 心导管就是一翻两瞪眼 要不要装 你当下都可以从仪器上面看到三条冠状动脉血液流通的状况