心房早期收縮是否會導致心跳加速和不適感？心電圖檢查報告分析-心臟血管專科

心電圖檢查報告？

---

請問醫師，心房早期收縮會讓人有連續"頓一下"後心跳就快到13x～14x嗎？
如果只有
1、2秒就心臟會有種空虛感，但是連續的話就會造成不舒服，心跳會很快，醫生有建議做其它什麼檢查嗎？
謝謝醫師🙏。
(以下附上24小時心電圖與杜卜勒氏彩色心臟血流圖)HOLTER EKG: *Study for arrhythmia*1️⃣ Basic rhythm:Sinus rhythm Max/min/mean HR 130/50/80 BPM; Total 112263 beats (23HR22MIN)2️⃣❓️ 心房異位Atrial ectopy:Total 6 beats including 1 isolated APC(總共6次心搏中出現一個獨立心房早期收縮)3️⃣心室早搏Ventricular ectopy: Nil4️⃣❓️非心房顫動Afib的短暫心搏過速Short-run of tachyarrhythmia except Afib:1 episode of short-run SVT with longest 5 consecutive beats and max HR 128BPM （一段短程心室心搏過速，最長出現5個節律，心跳最快128bpm）5️⃣高度房室傳導阻滯High-degree atrioventricular block: Nil6️⃣❓️竇性停搏Sinus pause:No pause longer than 2.0sec7️⃣陣發性房顫／撲動Paroxysmal atrial fibrillation/flutter：NilECHO: 經胸前超音波(Transthoracic echocardiography) M-mode (Normal data)1️⃣Aorta主動脈/LA左心房：(23-37/18-38mm) 30 / 282️⃣IVS左右兩個心室之間的間隔/LVPW左心室後面牆壁厚度： (6-12/5-11mm) 8 / 53️⃣LV-Diamter Dias/Sys (36-52/20-36mm) 52 / 324️⃣LVEDD舒張末期左心室內徑/LVESD Volume收縮末期左心室內徑： (46-108/10-54ml)130 / 415️⃣LV SV心搏量/ EF (32-95ml/49-76%) 89 / 706️⃣LVEF Simpson’’s method (4-chamber view): %, study parameters(TSOC_HF): No A) Dilated heart size: None; Thickening: None B) Pericardial effusion: No, Tamponade: No C) Intracardiac mass/thrombus: No D) Mitral flow pattern:E ＜ A, E:57, A:68, DT:287 E) Tissue Doppler Velocity: Sep e’’:10.5, E/e’’:5.4, Lat e’’:10.3, E/e’’:5.5 F) Valve lesion: *AV: normal - AS: /4, AVA:cm2, mean PG:mmHg, peak PG:mmHg - AR: /4, VCW:mm, P1/2t:ms *MV: normal - MS: /4, MVA:cm2, mean PG:mmHg - MR: /4, VCW:mm, jet: *TV: normal - TS: /4, TVA:cm2, mean PG:mmHg - TR: /4, PG: 18mmHg, VCW:mm *PV: normal - PS: /4, mean PG:mmHg, peak PG:mmHg - PR: /4 (1:trivial, 2:mild, 3:moderate, 4:severe, 5:massive, 6:torrential) G) Congenital lesion: None H) LV wall motion: Normal I) Global LV performance: adequate J) Global RV performance: adequate, TAPSE: 22mm K) LV diastolic function: normal , criteria: 1/4 4 criteria: (1) Average E/e’’　＞14; (2) septal e’’　＜7cm/s or lateral e’’　＜10cm/s; (3) TR ＞2.8m/s; (4) LAVI ＞34ml/m2 L) Other findings: M) 2D-Echo Machine: Simens C2000 N) 住院病人ISBAR交班: No ===================History taking during procedure: - TOCC: No - Fever: No ===================Conclusion: . Adequate LVP with no regional wall motion abnormality at resting status, adequate RVP . Gr.1 LV diastolic dysfunction ===================Ao=aortic root, AR=aortic regurgitation, AS=aortic stenosis, EF=ejection fraction, HCVD=hypertensive cardiovascular disease, IVC=inferior vena cava, IVS= interventricular septum, LA=left atrium, LV=left ventricle, LVPW=left ventricular posterior wall, MR=mitral regurgitation, MS=mitral stenosis, PR= pulmonary regurgitation, PS=pulmonary stenosis, PG=pressure gradient, RA=right atrium, RV=right ventricle, TR=tricus

---

可安，40~49歲女性，詢問日期：2023/05/07