心臟血管專科問診記錄：心悸、心跳不規律與心臟超音波檢查結果-心臟血管專科

請教您心臟督卜勒超音波及24小時心電圖？

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何主任您好
我今年60歲，膽固醇235，糖化血色素6.4，有吃降檔固醇和降血糖藥，最近3-4天容易心悸，感覺心臟跳動不規律，平常會喝咖啡的習慣也停了2天，心悸情形還是依舊。查出我在2022/07/09看心臟內科，檢查結果如下，可否請您解釋是否有異狀?
非常感謝您的協助。

Recording from: Duration : Recorder type:FD4(3 chan) S/N=AR4-0001600 Analysed :Analysed retrospectively S/W version :V4.2(f569.5ale) Analyst : Release :12.0 Preference :CCH Reasons for recording : Current Therapy : Diagnosis : Recommended Therapy : Comments: 1. Sinus rhythm with rate 49-103/min and mean 68/min. 2. Moderate to frequent APCs (total 299). 3. Occasional VPCs (total 216) with multiform, bigeminy, trigeminy and quadrigeminy. 4. No pauses longer than 2.0 seconds. 5. No ST segment deviation more than 2mm. 6. No entries of symptoms were made in the patient diary.

M-Mode Data: 1.IVS 11 mm(6-11) 5.RVD mm(7-23) 9.A.O root 35 mm(20-37) 2.LVPW 10 mm(6-11) 6.LVEDV ml(76-115) 10.LA 20 mm(19-39) 3.LVEDD 37 mm(36-57) 7.LVESE ml(39-48) 11.EPSS mm 4.LVESD 21 Mm(20-36) 8.EF 74 %(64-83) Doppler and Color flow Findings: 1.MS Mean PG= mmHg; Pt1/2= MSEC; mva = cm2 2.AS mild (＜50), mod (50-57), severe (＞75) Mean PG= mmHg;Peak PG = mmHg 3.MR ■ mild, □ moderate, □ severe 4.AR □ mild, □ moderate, □ severe 5.TR ■ mild, ■ moderate, □ severe, PG= = 15 mmHg;PASP = mmHg 6.PR □ mild, ■ moderate, □ severe 7.MV flow: E= cm/S; A= cm/S; E/A = ＜1 in TDI Interpretation: 1.Normal four chamber size, lossening of MV leaflets 2.Preserve LV systolic function 3.Impair LV diastolic function 4.No regional wall motion abnormality 5.Color doppler: moderate PR, mild to moderate TR, mild MR 6.Estimated SPAP: 25 mmhg impression: Preserve LV systolic function, diastolic dysfunction, MR/TR/PR

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平鎮周先生，60~69歲男性，詢問日期：2023/01/02