1. 任何检查结果都需要结合你的症状,相关临床表现,以及家族史等等来解读,而不是单纯地读结果。这也是医生需要这么多年学习和训练的原因。
2. stress echo是一个相对来说比较精确的检查,但是它也存在假阳性,和假阴性。有研究显示:stress echo的阴性正确率(negative predicative value,意思是如果结果是阴性,确实没有事情的概率)大概是95-99%,而阳性正确率(positivel predicative value,意思是如果结果是阳性,确实有病的概率)大概是70-75%。
3. 你的这个检查结果不正常,确实需要引起重视,需要进一步看心脏科医生,根据你的具体情况,看是否还需要进一步检查。看医生的时候,可以考虑如下一些问题:
1)这个阳性结果意味着什么,你得冠心病的概率究竟有多大?
2)是否有必要做下一步检查(如冠脉造影)。这项检查的利弊都有哪些?
3)在预防冠心病/心脏病上,平时都需要注意些什么?
4)是否有必要开始吃药或予以相关治疗,治疗措施的利弊各是什么?
4. FYI,一个心脏疾病自我评估的小测试:
Risk Assessment Tool for Estimating Your 10-year Risk of Having a Heart Attack
相关的类似测试还有一些,基本上大同小异。一般来说:
- Highest risk: A greater than 20% risk that you will develop a heart attack or die from coronary disease in the next 10 years. This risk can be reduced by addressing and managing your risk factors with the help of your doctor.
- Intermediate risk: A 10 to 20% risk that you will develop a heart attack or die from coronary disease in the next 10 years. This risk can be reduced by addressing and managing your risk factors with the help of your doctor.
- Low risk: Less than 10% risk that you will develop a heart attack or die from coronary disease in the next 10 years. Continue to manage your risk factors and visit your doctor regularly to assess your risk.