心臟超音波檢查報告解析：瓣膜閉鎖不全與心臟擴大的嚴重性-心臟血管專科

瓣膜閉鎖不全心臟擴大 檢查報告？

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何醫生您好，近日有到醫院做心臟超音波檢查，想了解報告內容，因長期會喘.胸悶胸痛，不知道報告結果是否嚴重，有翻譯只知道有左心房擴大以及三尖瓣肺動脈閉鎖不全其餘看不太懂，也不明白擴大多少是否嚴重還有閉鎖不全的部分嚴重性，還請何醫生幫忙解答，謝謝！感激不盡！

超音波心臟圖報告如下：
Finding: [Conclusion] 1. Adequate left ventricle systolic function 2. Adequate right ventricle systolic function 3. Dilated left atrium 4. Normal diastolic function with normal left ventricle filling pressure 5. Mild tricuspid, mild pulmonary regurgitation 2-D 心臟超音波檢查報告: Data: (1) Dimensions, thickness and systolic function: Aortic root:27 mm, LA:45 mm, LA vol Index:51 ml/m2 IVS:7 mm, LVpw:6 mm, LV mass Index:52 g/m2, Relative wall thickness:0.23 LVEDD:50 mm, LVESD:31 mm, LVEF(M):68 %, RV TAPSE:28 mm, (2) Wall motion abnormality: nil (3) Diastolic function: Mitral E/A:1.3, DT:151 ms, Pul vein S/D: ＞1, tricuspid E/A: ＞1 Septal E’’:12.6 cm/s, lateral E’’:17.8 cm/s, mean E/E’’:7.1 Normal diastolic function Criteria: (1) Septal E’’ ＜7cm/s or lateral E’’ ＜10cm/s (2) Mean E/E’’ ＞14 (3) TR velocity ＞2.8m/s (4) LA volume index ＞34ml/m2 (4) Valvular heart disease: Anatomy: AV normal, MV normal, TV normal, PV normal AV: AS nil, Jet velocity:1.1m/s, AR nil, MV: MS nil, MR nil, TV: TS nil, TR mild, Peak TR velocity:2.4 m/s, TR Pressure gradient:22.1 mmHg - PV: PS nil, PR mild, PA systolic pressure:25 mmHg (5) Pericardium: Normal, effusion: none (6) Congenital heart: None (7) Others: Mass, thrombus none IVC diameter: ＜2.1cm ＞50% collapse Sinus rhythm

杜卜勒式彩色心臟血流圖：
Finding: [Conclusion] 1. Adequate left ventricle systolic function 2. Adequate right ventricle systolic function 3. Dilated left atrium 4. Normal diastolic function with normal left ventricle filling pressure 5. Mild tricuspid, mild pulmonary regurgitation 2-D 心臟超音波檢查報告: Data: (1) Dimensions, thickness and systolic function: Aortic root:27 mm, LA:45 mm, LA vol Index:51 ml/m2 IVS:7 mm, LVpw:6 mm, LV mass Index:52 g/m2, Relative wall thickness:0.23 LVEDD:50 mm, LVESD:31 mm, LVEF(M):68 %, RV TAPSE:28 mm, (2) Wall motion abnormality: nil (3) Diastolic function: Mitral E/A:1.3, DT:151 ms, Pul vein S/D: ＞1, tricuspid E/A: ＞1 Septal E’’:12.6 cm/s, lateral E’’:17.8 cm/s, mean E/E’’:7.1 Normal diastolic function Criteria: (1) Septal E’’ ＜7cm/s or lateral E’’ ＜10cm/s (2) Mean E/E’’ ＞14 (3) TR velocity ＞2.8m/s (4) LA volume index ＞34ml/m2 (4) Valvular heart disease: Anatomy: AV normal, MV normal, TV normal, PV normal AV: AS nil, Jet velocity:1.1m/s, AR nil, MV: MS nil, MR nil, TV: TS nil, TR mild, Peak TR velocity:2.4 m/s, TR Pressure gradient:22.1 mmHg - PV: PS nil, PR mild, PA systolic pressure:25 mmHg (5) Pericardium: Normal, effusion: none (6) Congenital heart: None (7) Others: Mass, thrombus none IVC diameter: ＜2.1cm ＞50% collapse Sinus rhythm

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yoyo，20~29歲女性，詢問日期：2022/06/15