心臟血管專科問題：嚴重MR疑為腱索破裂，建議進一步調查-心臟血管專科

繼問題#146568？

主任你好：感謝你上次的回答，現在我有下載檢查報告，能否麻煩你再次給我意見，謝謝！心臟超音波(包括單面、雙面) 檢查日期：108/02/27診斷： Nonrheumatic mitral valve disorder, unspecified報告日期： ## Findings: LA,LV dilatation IVS hypertrophy adequate LV systolic function (EF:72.6%) normal LV diastolic function severe MVP(posterior leaflet) with severe MR (image 1/22-24), suspect chordae tendineae rupture mild TR ## Comment: TEE is indicated for further survey the morphology of mitral valve and the etiology of severe MR電腦斷層造影 － 無造影劑 檢查日期：108/06/24Imaging findings：CT of the chest：The high resolution axial imaging, unenhanced axial imaging and reformatted imaging are obtained. The mild plate-like opacities are noted in the left lower lobe of the lung. Lymph nodes are noted at the mediastinum and bilateral axillae. The trachea and both main bronchi are patent. The cardiac size is normal. Spur is noted on the cervical spine, thoracic spine and lumbar spine. There is calcified plaque at the soft tissue posterior to cervical spine. The hypoattentuation nodules are not超音波心臟圖(包括單面、雙面) 檢查日期：108/08/28MEASUREMENTS AND SCREENING Ao Diam (MM) 32 LA / AO 1.5 AV Cusp (MM) 19 IVSd (MM) 14 LVIDd (MM) 57 LVPWd (MM) 9 IVSs (MM) 15 LVIDs (MM) 35 LVPWs (MM) 18 MV DecT (ms) 195 MV Dec Slope (mm / s2) 6866 EF(Teich) (%) 66 %FS (%) 37 AORTIC VALVE : AV Vmax 1.48 m/s.MITRAL VALVE : Chordi rupture (+) multiple, anterior leaflet DOPPLER : E/A 1.34/0.75 m/s. E/E’ 13.7, 7.4 Reversal flow in PV (+) MISCELLANEOUS : Ao 3.29, LA 4.94, IVSd 1.49, LVIDd 5.71, LVPWd 0.99 cm, FS=祝時祺PS：目前早餐後服用優穩壓20毫克及康肯1.25公絲各一顆，早晚血壓大概100-130/60-90，脈博在50-70之間，身体壯況仍然沒有明顯症狀跟不舒服。