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?？

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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
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Sinus rhythm
Rare isolated apcs
Very frequent isoated vpes
Occasional vpc couplets
Rare episodes short run ventricular tachycardia (longest: 3 beats)
No long pause
No significant tachyarhythmia

==
BEAT COUNTS
HEART RATES
QRS complexes:
Paced:
113300
IM:
RAM:
57
125
79
Ventricular ectopics:
Supraventricular ectopics:
12700 11% / QRS #4*
3
<1%IQRS MEN
VENTRICULAR ECTOPY
Isolated:
Couplets:
Runs:
2
12426
134
3 beats LONGEST at:
3 beats FASTEST at:
161
b
161
Total beats:
Bigeminal:
SUPRAVENTRICULAR ECTOPY
6
544
Isolated:
Couplets:
Runs:
beats LONGEST at:
beats FASTEST at:
Total beats:
Longest RR:
1.289
sec at:.
05:53:51
2023/0420
Acq duration:
23:

Sinus rhythm
Rare isolated apcs
Very frequent isoated vpes
Occasional vpc couplets
Rare episodes short run ventricular tachycardia (longest: 3 beats)
No long pause
No significant tachyarrhythmia

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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).

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24小時心電圖20230420

Sinus rhythm
Rare isolated apcs
Very frequent isoated vpes
Occasional vpc couplets
Rare episodes short run ventricular tachycardia (longest: 3 beats)
No long pause
No significant tachyarhythmia

==
BEAT COUNTS
HEART RATES
QRS complexes:
Paced:
113300
IM:
RAM:
57
125
79
Ventricular ectopics:
Supraventricular ectopics:
12700 11% / QRS #4*
3
<1%IQRS MEN
VENTRICULAR ECTOPY
Isolated:
Couplets:
Runs:
2
12426
134
3 beats LONGEST at:
3 beats FASTEST at:
161
b
161
Total beats:
Bigeminal:
SUPRAVENTRICULAR ECTOPY
6
544
Isolated:
Couplets:
Runs:
beats LONGEST at:
beats FASTEST at:
Total beats:
Longest RR:
1.289
sec at:.
05:53:51
2023/0420
Acq duration:
23:

Sinus rhythm
Rare isolated apcs
Very frequent isoated vpes
Occasional vpc couplets
Rare episodes short run ventricular tachycardia (longest: 3 beats)
No long pause
No significant tachyarrhythmia

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王小姐，50~59歲女性，詢問日期：2023/06/05