[請益] 心血管支架
前陣子因胸悶不舒服去急診，醫師排了前天做檢查，報告如下：
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.
醫師建議：
1、做心導管檢查，不ok就直接裝支架。檢查健保有給付要住院3天，支架建議自費裝好一
點的。
2、自費電腦斷層檢查(2萬5)，但也有打顯影劑的風險(心導管也要打)，檢查出來有問題
還要要做心導管。
3、繼續吃降血壓跟降膽固醇，搭配運動，一個月後再回診拿藥。
如再有不舒服就再安排檢查一次。
想請益有相關經驗或專業的版友，我該採取哪一建議？謝謝
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