高頻率早期收縮是否會傷害心臟或身體？會容易中風嗎？-心臟血管專科

醫師好，高頻率早期收縮會傷害心臟或身體嗎?會容易中風嗎?心臟報告著請教?？

醫師好，1.請問我的心臟報告顯示心肌缺氧的程度？
很嚴重嗎?需要手術嗎?2.早期收縮為何為在1年半內由一天8下增加到12426下?跟更年期有關嗎?還是跟吃使排通錠會影響嗎?3目前吃心率整錠，但不舒服心跳降到45-70間，心臟原不舒服但吃藥更不舒服，可以不吃嗎?4高頻率早期收縮會傷害心臟或身體嗎?會容易中風嗎?)謝謝您運動心電圖The patient exercised according to the BRUCE for 09:10 min:s， achieving a work level of 最大 METS: 10.3. The resting heart rate of 90 bpm rose to a maximal heart rate of 160 bpm. This value represents 93 % of the maximal， age-predicted heart rate. The resting blood pressure of 127/70 mmHg， rose to a maximum blood pressure of 136/75 mmHg. The exercise test was stopped due to Target heart rate [85-99% MHR]， Dyspnea， Fatigue.））結論））Resting ECG : PVCs ）ST changes during TET : 1-mm horizontal ST-segment depression at leads II， III， AVF and V5-6 at recovery phases）Interpretation : probably positive for ischemia==Sinus rhythmRare isolated apcsVery frequent isoated vpesOccasional vpc coupletsRare episodes short run ventricular tachycardia (longest: 3 beats)No long pauseNo significant tachyarhythmia==BEAT COUNTSHEART RATESQRS complexes:Paced:113300IM:RAM:5712579Ventricular ectopics:Supraventricular ectopics:12700 11% / QRS #4*3<1%IQRS MENVENTRICULAR ECTOPYIsolated:Couplets:Runs:2124261343 beats LONGEST at:3 beats FASTEST at:161b161Total beats:Bigeminal:SUPRAVENTRICULAR ECTOPY6544Isolated:Couplets:Runs:beats LONGEST at:beats FASTEST at:Total beats:Longest RR:1.289sec at:.05:53:512023/0420Acq duration:23:Sinus rhythmRare isolated apcsVery frequent isoated vpesOccasional vpc coupletsRare episodes short run ventricular tachycardia (longest: 3 beats)No long pauseNo significant tachyarrhythmia==心臟超音波20230420臨床診斷: CVA 編號: 112-3167 Tape No. : 檢查項目: 2D transthoracic echocardiography Report: AO(mm) = 29 LA(mm) = 43 IVS(mm) = 13 LVPW(mm) = 9 LVEDD(mm) = 40 LVESD(mm) = 20 LVEDV(ml) = 68 LVESV(ml) = 13 LV mass(gm) = 137 RVEDD(mm)(mid-cavity) = TAPSE(mm) = 24 LVEF(%) = M-mode(Teichholz) = 80 2D(M-Simpson) = Diagnosis: 1.Heart size: Dilated LA; AsAo ( 32mm); ( LA volume:57 ml ， LA volume index:34.3 ml/m2) 2.Thickening: IVS 3.Pericardial effusion: None 4.LV systolic function: Normal 5.RV systolic function: Normal 6.LV wall motion: Normal 7. MV prolapse: None ; MS: None ; MR: Trivial ; AS: None ; Max AV velocity = 1.57 m/s ， AR: None ; AVS(aortic valve sclerosis): NCC，RCC，LCC TR: None ; TS: None ; PR: mild ; PS: None ; 8.Mitral E/A = 110 / 95 cm/s (E/A ratio = 1.16) ; Dec.time = 206 ms ; Heart rate = 79 bpm 9.Septal MA e，/a， = 8.4 / 12 cm/s; Septal E/e， = 13.1 ; Lateral MA e，/a， = 10.8 / 14.8 cm/s ; Lateral E/e， = 10.2 ; 10.Intracardiac thrombus : None 11.Vegetation : None 12.Congential lesion : None 13.Calcified lestions : None 15.IVC size 12 mm with inspiratory collapse ＞50% Conclusion: 1.Mild septal hypertrophy with indeterminated LV filling pressure; mildly dilated LA. 2.Normal LV and RV systolic function. 3.Mild aortic valve sclerosis; trivial MR; mild PR. 4.Mildly dilated proximal ascending aorta ( 32 mm).==24小時心電圖20230420Sinus rhythmRare isolated apcsVery frequent isoated vpesOccasional vpc coupletsRare episodes short run ventricular tachycardia (longest: 3 beats)No long pauseNo significant tachyarhythmia==BEAT COUNTSHEART RATESQRS complexes:Paced:113300IM:RAM:5712579Ventricular ectopics:Supraventricular ectopics:12700 11% / QRS #4*3<1%IQRS MENVENTRICULAR ECTOPYIsolated:Couplets:Runs:2124261343 beats LONGEST at:3 beats FASTEST at:161b161Total beats:Bigeminal:SUPRAVENTRICULAR ECTOPY6544Isolated:Couplets:Runs:beats LONGEST at:beats FASTEST at:Total beats:Longest RR:1.289sec at:.05:53:512023/0420Acq duration:23:Sinus rhythmRare isolated apcsVery frequent isoated vpesOccasional vpc coupletsRare episodes short run ventricular tachycardia (longest: 3 beats)No long pauseNo significant tachyarrhythmia