请教stress test结果

来源: first 2019-01-15 17:14:49 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (6532 bytes)

最近验血结果显示胆固醇比较高,如下,医生建议饮食控制,没有给药。另外偶尔有一次胸痛,做了stress test,但看不懂结果,请教一下,谢谢。

 

cholesterol, Total 242 mg/dL <200 mg/dL
HDL 71 mg/dL >50 mg/dL
Triglycerides 114 mg/dL <150 mg/dL
LDL Cholesterol 148 mg/dL (calc) mg/dL (calc)
 

Stress Procedure and Findings
Normal resting ECG (sinus rhythm, normal conduction and repolarization.) The baseline heart rate was 69 bpm and the baseline blood pressure was 115/75 mmHg.
The patient exercised for a total of 10 minutes and 2 seconds using the Bruce protocol. The maximal heart rate was 153 bpm which represents 92% of the age-predicted maximal heart rate and corresponds to a blunted response for the achieved workload. Peak stress blood pressure was blunted for achieved workload at 124/68 mmHg. Exercise capacity was 11.8 METs which was good for age and gender. Stress test stopped due to dyspnea.
The stress electrocardiogram showed 2 mm of horizontal ST depression in lead(s) lead II, III aVF starting at 6min and lasting 15min and 1 mm of horizontal ST depression in lead(s) lead V3, V4, V5, V6 starting at 8min and lasting 13min. The patient did not experience chest pain during stress. The Duke treadmill score was 2, consistent with a moderate risk treadmill score.

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中等危险, 心肌供血不足。不是专家。仅供参考。 -Wangmumu- 给 Wangmumu 发送悄悄话 (907 bytes) () 01/15/2019 postreply 17:58:31

谢谢解释 -first- 给 first 发送悄悄话 (0 bytes) () 01/15/2019 postreply 18:08:08

Bruce 你能做10分零2秒已经很不错了,达到了92%最高心率。你在做的过程中出现心电图的改变, -锅沿- 给 锅沿 发送悄悄话 (240 bytes) () 01/15/2019 postreply 18:12:29

谢谢,本人女性,年龄50+,检查前晩没睡好,是否影响结果?医生通知进一步造影检查 -first- 给 first 发送悄悄话 (0 bytes) () 01/15/2019 postreply 18:26:46

一般来说跟睡眠关系不大。 -御用文人- 给 御用文人 发送悄悄话 (47 bytes) () 01/15/2019 postreply 20:47:59

还是情绪引起的心病,工作生活压力带来的负面影响。现在才明白“神志”。 -danren- 给 danren 发送悄悄话 danren 的博客首页 (0 bytes) () 01/15/2019 postreply 21:06:31

我也偶尔发生心间疼痛,休息不好时,感觉很吓人的,像是人快不行了似的。我的好胆固醇值低于正常,坏胆固醇值偏高但在正常区间 -川音未改- 给 川音未改 发送悄悄话 (0 bytes) () 01/15/2019 postreply 19:20:52

我不懂你们在说什么,更看不懂报告。但我认为是更年期病. -lawattaction- 给 lawattaction 发送悄悄话 (0 bytes) () 01/16/2019 postreply 07:31:13

谢谢各位!看来到了一定年龄,就得关注血糖血脂血压。什么事都该悠着一点了 -first- 给 first 发送悄悄话 (0 bytes) () 01/16/2019 postreply 11:03:12

不止这些,要关心的多了去了。 -lawattaction- 给 lawattaction 发送悄悄话 (0 bytes) () 01/16/2019 postreply 13:42:08

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