心臟超音波檢查結果分析及疑問解答-心臟血管專科

心臟超音波？

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以下有兩份報告，麻煩您過目

這是11/30的心超
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

検查項目:M22-051 ECHO CARDIOGRAPHY
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

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：請問我心臟衰竭是不是很嚴重？
射血分數這樣算很低嗎？
問題二：請問除了射血分數低之外，報告還有其他問題嗎？
問題三：醫師有診斷出周產期心肌病變，說是生產引起的心臟衰竭，但是基本上都會恢復，請問您有遇過這樣的產婦嗎？

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思思，20~29歲女性，詢問日期：2023/02/04