心臟血管專科心電圖與24小時心電圖結果分析及建議-心臟血管專科

心電圖、24小時、運動心電圖結果詢問？

何醫師您好我在110.11月初連續熬夜3天後開始，心臟常常有緊緊的感覺，而且是一整天都斷斷續續的會有。
去醫院看了醫生先做了心電圖、24小時心電圖、運動心電圖；醫生說有可能是血管阻塞，但又說了我這年紀一般來說機會不高，還要安排2個月後的心肌斷層灌注掃描。
由於當下醫生說的沒有很清楚，但距離下次檢查還要等很久所以很擔心。
希望能請您幫忙看看檢查結果是不是很嚴重，心肌缺氧的機率大不大，很謝謝您！ （檢查結果如下；我不菸不酒、沒有三高；血壓125-130左右）運動心電圖Phase Name Stage Name Time Speed Grade HR BP Comment in Stage (mph) (%) (bpm) (mmHg) PRETEST STANDING 01:42 1.00 0.00 86 127/73 EXERCISE STAGE 1 03:00 1.70 10.00 92 132/73 STAGE 2 03:00 2.50 12.00 100 168/74 STAGE 3 03:00 3.40 14.00 129 184/69 STAGE 4 03:00 4.20 16.00 171 157/49 STAGE 5 00:04 5.00 18.00 171 RECOVERY 03:00 0.00 0.00 115 182/62 02:49 0.00 0.00 104 161/65 -------------------------------------------------------------------------------------------------- The patient exercised according to the BRUCE for 12:04 min:s, achieving a work level of Max. METS: 13.70. The resting heart rate of 72 bpm rose to a maximal heart rate of 173 bpm. This value represents 89 % of the maximal, age-predicted heart rate. The resting blood pressure of 127/73 mmHg , rose to a maximum blood pressure of 184/69 mmHg. The exercise test was stopped due to SOB, Leg discomfort. Abnormal ST segment depression --------------------------------------------------------------- Conclusion : The TET is positive for myocardial ischemia. Horizontal ST dep., 2-3/2-3 mm, at III,AVF, strongly positive for ischemia24小時心電圖The 24 hrs holter recording was examined due to pt has had frequent presyncope and syncope episodes, chest tightness on exertion and rest, and severe palpitation, for more than 1 month. The whole recordings was 21 hrs and 45 mins, basic rhythm was sinus, and showed heart rate was max 107bpm at 7:56, which was sinus tachycardia with ST depression reached 3/2-1.5 mm at channel I, suggestive of ischemia, and minimum 34 bpm at 3:22, which was sinus bradycardia. Daytime min HR was 43 bpm at 16:00, 17:00. 0 pvc , and 327 pacs, day:night=116:211, with no pair/run 1946 long pauses, all at midnight, with longest RR 1.9 sec, which was sinus bradyarrhythmia, HR 35 bpm at 3:15. 10 tachycardias, all were sinus tachycardias/daytime. 59 bradycardias, day:night=1:58, all were sinus bradycardia/bradyarrhythmia, only 1 at daytime. Conclusions, Frequent sinus bradycardia/bradyarrhythmia, with long pauses, more at midnight(Min HR 34 bpm, longest RR 1.9 sec) Occasional pacs, day:night=1:2, no pair/run. Rare sinus tachycardia, more at daytime. Suspect ischemic heart disease心電圖SINUS RHYTHM|＆RSR (QR) IN V1/V2 CONSISTENT WITH RIGHT VENTRICULAR CONDUCTION DELAY