心室、心房早期收縮心律不整：VPC與APC的區別及影響-心臟血管專科

心室、心房早期收縮？

---

醫師您好，我之前做24小時心電圖的時候VPC只有出現149次，沒有APC，但之後又做了一次APC增加到了236，多了APC54下，請問醫師這個會不會越來越多，以後會不會變成幾千幾萬個PVC...這次檢查的時候有吃得原緒（自律神經藥物）怎麼反而變多了，請問醫生這會更嚴重嗎？會不會有生命危險？以下是我這次新的報告，不好意思打擾醫師，再請醫師抽空回答，拜託您了，謝謝醫師！
心臟超音波的報告：Report: IVS: 9 mm, LVEDD: 47 mm, LVESD: 31 mm; PW: 8 mm, EF by Linear method: 63 %, Sinus of Valsalva: 26 mm, Left Atrium: 23 mm 1.Heart size: dilatation of : nil 2.Pericardial effusion: nil 3.Valvular measurement: MS : nil, MR : nil, AS : nil, AR : nil, TS : nil, TR : nil, Vmax: _ m/s; Max. gradient: _ mmHg, PS : nil, PR : nil, 5.Mitral E/A: _ / _ cm/s, E/E’’: med _, lat _, aver _. 6.Others: IVC diameter 10 mm with inspiratory collapse ＞50 %, Doppler ＆ ECHOCARDIOGRAPHIC REPORT: Rhythm and Appearance: . Sinus tachycardia Left ventricle: . Systolic function: Normal . Wall motion: Normal . Diastolic function: Normal Right ventricle: . Systolic function: Normal

24小時心電圖的報告：HOLTER EKG: DATE OF 24-HOUR RECORDING: Study for: ARRHYTHMIA ANALYSIS RESULT 1) Quality of recording: GOOD 2) Dominant rhythm: SINUS 3) Total Beats: 112778 beats 4) Minimum heart rate: 45 beats/minute 01:56:23 sinus bradycardia 5) Average heart rate: 80 beats/minute 6) Maximum heart rate: 158 beats/minute 13:28:21 sinus tachycardia 7) VPC/ couplet/ triplet/ bigeminy: 236/0/0/0 8) APC/ couplet/ AT: 54/0/0 (longest beats, bpm, at ) 9) VT/ idioventricular rhythm: 0/0 10) Ventricular pause ＞ 2 seconds: 0 COMMENTS * sinus rhythm with mean HR 80 BPM (min: 45BPM;Max 158 BPM) * Rare isolated APCs * few isolated VPCs (0.2%) * No significant long pause.

---

Andy，20~29歲男性，詢問日期：2020/08/19