心臟超音波檢查結果分析-心臟血管專科

心臟超音波？

---

11/30的心超
申請序號:
24368214
Result:
< Interpretations and summary >
Mildly dilated left ventricle with global hypokinesia, left ventricular
ejection
47% by area-legnth assessed at bi-plan
Normal right ventricular size and contractility, estimated RV systolic
pressure
30 mmHg,
normal
MR, mild-to-moderate
AR, mild
TR, mild
PR, mild
Measurement :
AO:
26.0
AV Opening:
16.0
28.0
RV:
Shape and Motion :
Mildly dilated LV
LV RWMA
Global hypokinesia
LA
Normal
Right Heart
Normal
Valve and Flow :
Aortic valve:
AV flow:
Mitral valve:
E:
E/A:1.1
Tricuspid vlave:
TR:
Pulmonary valve:
PV flow:
Regurgitation:
AR, mild
MR, mild-to-moderate
TR, mild
PR, mild
Other :
Pericardial effusion:
No pericardial effusion
Pleural
effusion:
No pleural effusion
檢查項目: Echocardiogrpy超音波(18005C+18007
LA:
(mm)
(mm)
(mm )
(mm )
IVSd:
10.1
(mm )
LVEF(M):
LVPWd:
9.2
55.0 (mm)
(mm )
LVEF(A-L): 46.6
LVEDD:
LVOT:
LVESD:
41.8 (mm)
Estimated LV mass:
203
Estimated LV mass index:
117
LV shape
149.cm/s
Ao PG peak: 9.0 mmHg
63.8cm/s
DT(E):
124. ms
20 mmHg
223.cm/sec TRPG:
104.cm/sec PV acc time: 135 mmHg
A: 60.0cm/s

12/9的心超
姓
名:陳詩好
超音波檢查報告
病患來源:門診
病歷號碼:3851654
臨床診斷:
醫囑單號:
檔區:H
検查項目:M22-051 ECHO CARDIOGRAPHY
非正式病歷(報告)僅供参考 另請妥保管,注意個资安全。·
::查询(列部)人员:周宗川,查詢(列印)時間:2022/12/09 08:47:03--
= Report =
Indications :
Echo machine : GE Vivid E9
Patient source : OPD
(Atrium and Aortic Root)
AO (mm) = 31
LA (mm) = 28
【Left Ventricle)
IVS (mm) = 10
PW (mm) = 10
EDD (mm) = 50
ESD (mm) = 38
EDV (ml) = 118
ESV (ml) =61
LV mass
(g) =185
LVEF :
by M-mode measurement : 48 %
by 2D simpson measurement : 57.63 %
(LVEDV/LVESV(m1)=84/37)
LV Wall motion: Normal wall motion
【Diastolic function)
Mitral inflow E/A:63/74 (E/A ratio=0.85)
【Valve】
MS: nil;
MR: Mild;
AS: nil;
AR: nil;
TS: nil;
TR: Mild;
Vmax= 2.32m/s= 21.5mmHg
PS: nil;
PR: nil;
【0ther findings)
Pericardial effusion : None
Int racardiac thrombus : No
Congenital lesions : None
Abbreviations
LA: Left Atrium, LV: Left Ventricle, RV: Right Ventricle.Ao: Aortic Root
長庚紀念醫院
1/2
21x27CM
Cardiac Echo
【Conclusion)
1. Global hypokinesis with borderline LV performance.
2. Decreased LV compliance.
3. Mild MR and TR.

問題一：第一個是11/30的心超，下面的是12/9的心超，想請問是否心臟功能有變好？及是否有肺高壓的問題呢？
因本身焦慮恐慌症，目前只能從這兩份報告來做對比

*會去做心超是因為剖腹產後第五天有覺得喘，經檢查其中一個醫生覺得是周產期心肌病變（懷孕造成的），另一個醫生覺得沒有很嚴重，不必擔憂，想請問您有遇過周產期心肌病變的產婦嗎？是否經過時間會好呢？

---

娜娜，20~29歲女性，詢問日期：2023/02/03