心房早期收縮1萬多下：如何理解心電圖報告？-心臟血管專科

心房早期收縮1萬多下？

醫師您好,我2月去做婦科手術,醫生說我有心律不整請我要找時間去心臟科做檢查,於是我先買了APPLE WATCH 才帶3天就測到5-6次的心房顫動,靜態心跳也都大約80-110於是我就去了診所看診,醫生做了心電圖有測到心律不整,叫我吃藥也沒說我的症狀是什麼,於是我又去了大醫院檢查,這是檢查報告請醫師幫我看一下,感謝大醫院醫師說我報告沒問題,也沒多做解釋報告內容,我用翻譯看才知道我心房早期收縮1萬多下,左心房肥厚,左心室擴大這些大醫院醫師都沒跟我解釋只說我抽血報告和檢查報告都正常,只叫我吃藥(可吃可不吃)我很擔心,小孩也還小,很害怕自己中風和心臟衰竭~請醫師幫幫忙謝謝杜卜勒氏彩色心臟血流圖Measurements: Left ventricle Diastolic Dimension:4.69 Systolic Dimension:3.13 IVS Diastole:1.25 LVPW Diastole:1.07 LV Mass: LV Mass Index: Estimated LVEF(M-mode):62.00 Fractional Shortening:33.00 Left atrium Diastolic Dimension:4.13 LA/AO ratio: Vessels Aortic root:2.53 Summary: Left Ventricle: Asymmetric LV hypertrophy No regional wall motion abnormality Global hypokinesia Left Atrium: Dilated LA Right Ventricle: Right Atrium: Vessels: Normal aortic root Pericardium: No pericardial effusion Aortic Valve: Normal aortic valve Mitral Valve: Mild MR E/A ＜ 1 Probable diastolic dysfunction Tricuspid Valve: Mild TR Pulmonic Valve: Normal pulmonary valve Physician Interpretation: 1.Adequate left ventricule systolic function 2.Left ventricule diastolic dysfunction 3.Left atrium dilation 4.Septal wall hypertrophy 5.Mild mitral regurigation 6.Mild tricupid regurigation超音波心臟圖(包括單面、雙面)Measurements: Left ventricle Diastolic Dimension:4.69 Systolic Dimension:3.13 IVS Diastole:1.25 LVPW Diastole:1.07 LV Mass: LV Mass Index: Estimated LVEF(M-mode):62.00 Fractional Shortening:33.00 Left atrium Diastolic Dimension:4.13 LA/AO ratio: Vessels Aortic root:2.53 Summary: Left Ventricle: Asymmetric LV hypertrophy No regional wall motion abnormality Global hypokinesia Left Atrium: Dilated LA Right Ventricle: Right Atrium: Vessels: Normal aortic root Pericardium: No pericardial effusion Aortic Valve: Normal aortic valve Mitral Valve: Mild MR E/A ＜ 1 Probable diastolic dysfunction Tricuspid Valve: Mild TR Pulmonic Valve: Normal pulmonary valve Physician Interpretation: 1.Adequate left ventricule systolic function 2.Left ventricule diastolic dysfunction 3.Left atrium dilation 4.Septal wall hypertrophy 5.Mild mitral regurigation 6.Mild tricupid regurigation攜帶式心電圖記錄檢查1.Sinus arrthymia with heart rate about 45~147bpm, average 66bpm 2.Frequency atrial premature complex with 10679 beats 3.Rare ventricule premature complex with 47 beats 4.No long pause more than 3 seconds 5.No patient events