心臟血管專科檢查報告解讀：頭暈、胸悶、耳鳴等症狀原因分析-心臟血管專科

心臟報告請幫忙解讀, 謝謝。？

吳主任你好，最近人常頭暈頭重，耳轟轟聲，感覺隨時要倒下，胸悶。
請幫忙解讀，謝謝。
超音波心臟圖(包括單面、雙面)杜卜勒氏超音波心臟圖2 BSA: 1.6 m Interpretation Summary Proximal septal thickening(sigmoid LV outflow tract) is noted.12MM Concentric LV remodeling LV systolic function preserved . Aortic regurgitation mild Tricuspid regurgitation mild Pulmonic regurgitation trace Mitral regurgitation trace The transmitral spectral Doppler flow pattern is suggestive of impaired LV relaxation. The increased velocity ratio of mitral flow to mitral annular in early filling indicates elevated LV filling pressure. MMode/2D Measurements ＆ Calculations IVSd: 0.90 cm LVIDd: 4.5 cm FS: 51.6 % LV mass(C)d: 146.9 grams 2 LVIDs: 2.2 cm EDV(Teich): 93.0 ml LV mass(C)dI: 89.3 grams/m LVPWd: 1.0 cm ESV(Teich): 15.9 ml LVIDs Index: 1.3 cm EF(Teich): 82.9 % RWT_: 0.46 Ao root diam: 3.4 cm asc Aorta Diam: 3.4 cm ACS: 1.8 cm LA dimension: 3.3 cm LA volume.: 28.8 ml LA Volume Index: 17.5 ml Doppler Measurements ＆ Calculations MV E max vel: 67.6 cm/sec MV dec time: 0.22 sec Ao V2 max: 175.1 cm/sec PA V2 max: 80.5 cm/sec MV A max vel: 79.5 cm/sec Ao max PG: 12.3 mmHg PA max PG: 2.6 mmHg 2 MV E/A: 0.85 Ao V2 mean: 119.4 cm/sec PA acc slope: 624.0 cm/sec Ao mean PG: 6.8 mmHg PA acc time: 0.11 sec Ao V2 VTI: 32.8 cm TR max vel: 219.9 cm/sec E/E’: 13.6 TR max PG: 19.3 mmHg Med Peak E’ Vel: 5.0 cm/sec Left Ventricle Proximal septal thickening(sigmoid LV outflow tract) is noted. LV systolic function preserved . The transmitral spectral Doppler flow pattern is suggestive of impaired LV relaxation. The increased velocity ratio of mitral flow to mitral annular in early filling indicates elevated LV filling pressure. Left Atrium The left atrial size is normal. Aortic Valve Normal in structure and function. Aortic regurgitation mild. Page 1 of 2 Mitral Valve Mitral regurgitation trace. Right Heart Tricuspid regurgitation mild. Pulmonic regurgitation trace. Mode 2D+ Doppler.LA (＜= 45 mm) : 38 mm.Ao (＜= 40 mm): 23 mm.RVD (＜= 24 mm): 12 mm.Septum (＜= 12 mm): 12 mm.Post wall (＜=11 mm): 9 mm.LV SD (＜= 38 mm): 19 mm.LV DD (＜= 55 mm): 50 mm.LV EF (＞55%): 90%.CONCLUSIONS:1. NO CHAMBER DILATATION.2. PRESERVED LV PERFORMANCE.3. E/A ＜ 1.4. THICKNESS OF AV (LCC) WITH MILD AR.5. MILD MR.6. TRIVIAL TR.7. LV EF(4C): 57%.