心房早期收縮與二尖瓣脫垂的治療與症狀-心臟血管專科

心房早期收縮 & 二尖瓣脫垂？

醫生您好，本人有心房早期收縮 跟 二尖瓣脫垂的症狀。
1. 想請問醫生通常心房早期收縮的治療時常為多久? 目前已經吃了半個月的藥(臟得樂錠)，但有時還是會感受到心跳跳動的感覺，自己有觀察過 大多都是在下午4點到8點這段期間會感受到。
2. 有時候會感受到心臟的位置會有刺刺的感覺是為何? 有時候趴睡的時候會感受到心臟的位置不知道是肌肉跳動 還是 心臟在跳動3. 通常當我感受到心跳跳動的時候，我會習慣出門兜風 或是 運動 來減少我的緊張感 或是自我亂想。
不知是否運動是可以的呢? (打籃球)，有發現走動 或是 運動可以降低我感受到心跳跳動的感覺。
以下是檢查出來的資料：心電圖 5/28Sinus rhythmwith frequentpremature ventricular complexes Incomplete right bundle branch block Borderline ECG攜帶式心電圖 4/19Unknown Sinus rhythm 1:05PM Unknown Sinus rhythm Analysis results1. Suspected LBBB pattern conduction with rate 45-131/min and mean 71/min;The Max. heart rate was 131 bpm at 9:21 PM due to sinus tachycardia.2. Frequent VPCs Total: 445 beats with bigeminy and quadrigeminy.3. Rare APCs Total: 9 beats with pair and nonsustained PAT.4. The longest R-R interval was 1.5 sec at 3:09 AM due to VPC.5. There were intermittent end-diastolic of VPC.6. There were ectopic atrial beats and wandering atrial pacemaker.7. There were “J” point elevation.8. Events of symptom patient diary were associated with normal tracings.There were a total of 100772 beats.超音波心臟圖 4/15RVD(7~23)= mm IVSd(6~11)= 12 mm LVDd(36~52)= 50 mm AoRoot(20~37)= 32 mm IVS excursion(5~11)= mm LVDs(20~36)= 30 mm AV opening(15~26)= mm LVPWD(6~11)= 10 mm EPSS(＜5)= mm LA(19~40)= 38 mm LVPW excursion(9~14)= mm EF= 70.1 ~ % EF Slop(60~176)= mm/sec LVEDV= 118 ml LVESV= 35 ml IVC Diam= 1.54 cm Other= Other= Structure abnormality : Pericardial effusion : No Ant= cm, Post= cm, Estimated amount= cc 2D Structure analysis AV: TV: MV: Mild mitral valve prolapse PV: Others: Trans-mitral inflow: E/A: 97 / 49 = 2, DT: 244.6 msec LA volume index(16~34)= ml/m2, E/E’ Med: 6.8, E/E’ Lat: ＜Wall motion analysis＞ Normal LV Wall motion ＜Color Doppler＞ 1. Mild MR 2. Trivial TR(PG:23mmHg, VMAX:240cm/s) 3. Trans-mitral inflow: E/A : 2, DT : 244.6 msec ; E/E’ Med:6.8 ＜Comments＞ 1. Mild MVP of AML with mild MR 2. Trivial TR with normal PA pressure, PASP: 19 mmHg 3. Septal hypertrophy with preserved LV systolic function, LVEF: 70.1% 4. No IVC engorgement 5. No pericardial effusion謝謝醫生。