心臟超音波檢查結果解讀及建議-心臟血管專科

心臟超音波多久做一次（跟心臟超音波報告解讀）？

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主任您好，請問我有兩次心臟超音波的檢查報告
相隔大概兩個月而已
1.想問其中一個報告裡的 LAD(19~40mm):43
這樣算左心房增大嗎？會很嚴重嗎？
因為本身有早搏、跟二尖瓣膜脫垂那些
有點擔心..
2.請問如果有早搏又有輕微二尖瓣膜脫垂 大概要多久健康檢查一次心臟超音波？
3.請問為什麼兩次報告一下左心房正常值
一下左心房好像超過（左心室也是）
是因為檢查都會有誤差嗎？僅僅兩個月而已有可能會變化這麼大嗎？
4.我有去檢查冠狀動脈電腦斷層 三條主動脈都沒有任何鈣化 跟阻塞 都乾乾淨淨的，有輕微心肌橋但沒有很深，然後有二尖瓣膜脫垂，想問是不是如果去做瓣膜手術早搏就會消失呢？

因為目前醫生說可能是二尖瓣膜脫垂（二尖瓣膜閉鎖不全）造成早搏
如果我不電燒 我做瓣膜修復手術早搏會好嗎/或消失痊癒？
謝謝主任 不好意思麻煩了

附上兩次的心臟超音波報告
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以下是我之前兩次心臟超音波的報告:
Clinical Dx:
M-mode+Section Scan: Aortic Root (20∼37mm): 25
LAD (19∼40mm): 43
LVIDd (35∼51mm): 47
LVIDs (28∼35mm): 32
VS (6∼10mm): 10
PW (6∼10mm): 10
Comment:(M-mode,2-D, Doppler ＆ Color Flow Mapping)
1. Preserved LV ＆ RV systolic function, LVEF = 60 %.
2. Preserved LV diastolic function, E/A= 1.4, Em/Am= 1.5, E/Em= 7.5, Em= 12.4 cm/s.
3. Dilated: LA.
4. MR: Mild.
5. TR: Minimal.
6. PR: Mild.
7. The TDI suggest decreased LV systolic reserve function. (Lat Sm= 6.4cm/sec)

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心臟超音波跟杜卜勒氏彩色心臟血流圖
• 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

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阿昌，20~29歲男性，詢問日期：2022/07/19