年輕人心臟超音波與卜勒氏彩色心臟血流圖報告：心肌梗塞風險評估-心臟血管專科

心臟超音波和卜勒氏彩色心臟血流圖報告？

主任您好,我今年24歲,最近因為心房早縮,所以做了24小時心電圖跟心臟超音波、杜卜勒氏彩色心臟血流圖,報告如下,請問主任,我這樣會是心肌梗塞嗎？
或是血管有問題？
求你,幫我看一下...心臟超音波跟杜卜勒氏彩色心臟血流圖檢查日期:2021/09/10 Conclusion• LV enlargement• Preserved global contractility of left ventricle• LVEF by M-mode is 60.4 %• Regional wall motion abnormality, cause to be determined• Grade I diastolic dysfunction (Impaired relaxation)• MVP, borderline• Mild mitral regurgitation• Mild pulmonary regurgitation• Mild tricuspid regurgitation• Estimated systolic pulmonary artery pressure is 21.3 mmHg MMode/2D Measurements ＆ Calculations RWT: 0.34 Time Measurements MM R-R int: 0.82sec MMode/2D Value References Ao root diam: 3.1cm [ 2.0-3.8 cm] LVIDd: 5.8cm [ 3.7-5.3 cm] ACS: 1.9cm [ 1.6-2.6 cm] LVIDs: 3.9cm [ 2.4-3.6 cm] LA dimension: 3.5cm [ 1.9-4.0 cm] EDV(Teich): 166.6ml [ 80-180 ml] [ 0.5-2.1 cm] ESV(Teich): 65.9ml [ 16-83 ml] MV E-F slope: 17.3cm/sec [ 8.0-15.0 cm/sec] EF(Teich): 60.4% [ 50-70 %] IVSd: 1.0cm [ 0.7-1.1 cm] FS: 32.8% [FS 34-44 %] LVPWd: 1.0cm [ 0.9-1.1 cm] MM HR: 73.0BPM [ 60-100 BPM] [EPSS ＜0.8 cm] CO(Teich): 7.3l/min [ 2.5-7.2 l/m] [RWT 0.22-0.42] Doppler Measurements ＆ Calculations Ao V2 max: 84.2cm/sec LV V1 max PG: 2.4mmHg Ao max PG: 2.8mmHg LV V1 max: 77.0cm/sec TR max vel: 167.0cm/sec sPAP: 21.3mmHg TR max PG: 11.3mmHg MV E max vel: 82.9cm/sec [＞=50y,62 ± 14,＜50y,72 ± 14] MV A max vel: 56.8cm/sec [＞=50y,59 ± 14,＜50y,40 ± 10] MV E/A: 1.5 [sPAP ＜ 35mmHg] MV dec time: 0.18sec [DT 0.16-0.22 sec] LV IVRT: 0.05sec [ 0.07-0.09 sec] Ventricles• Increased dimension of LV• LVEF by M-mode is 60.4 %• Hypokinesis in the segments of LV including anteroseptal wall• Mitral inflow: E/A ratio : 1.5• Isovolemic relaxation time is 0.05 sec• Deceleration time of mitral inflow 0.18 sec• Tissue Doppler: E’/A’ ＜1• Septal E’ : 10.6 cm/s• Lateral E’ : 11.9 cm/s• E/E’(Lateral) : 6.9 Atrium• Normal sizes of atrial chambers Valves• Increase thinkness of MV with borderline elongated chordae of MV Valves• Increase thinkness of MV with borderline elongated chordae of MV--24小時心電圖HOLTER 檢查日期:2021/08/11Conclusions 1. Baseline sinus rhythm with total heart rate 108949 beats(QRSs) were analysed which ranging from 56 to 127 bpm (average heart rate= 80 bpm)2. No long pause3. No VT,no PSVT4. ST-T change was noted5. 5 APCs were noted6. Standard deviation over all normal beats was 116.8 ms.7. Patient remark 3 events : Normal sinus rhythm without sighificant ST-T change was found--請幫幫我主任！！