運動後的心電圖與超音波檢查結果分析-心臟血管專科

運動心電圖解析？

醫師你好:最近做了運動心電圖和心臟超音波，想請問心電圖這樣是陰性還是陽性，超音波心臟狀況還好嗎？
我坐太久腳踝會水腫是跟心臟有關還是單純循環不良？
謝謝醫師Conclusions 1) Target heart rate (THR): 165 BPM. 2) Maximal heart rate: 148 BPM. ( 89% THR) 3) Resting ECG: NSR. 4) Termination: A. Cause: SOB and legs soreness. B. Complete: Stage: 3 ; 6 min 30 sec; 7.7 Mets. Maximal BP: 180/91 mm Hg. 5) Exercising ECG: sinus tachycardias and non-specific ST-T changes. 6) Conclusions: exercise intolerance; negative, probably.Couclusion.Normal sizes of cardiac chambers • Preserved global contractility of left ventricle • LVEF by M-mode is 72.5 % • No significant regional wall motion abnormality • Grade II diastolic dysfunction • AV sclerosis • Aortic and mitral valve prolapse, borderline • Mild mitral regurgitation • Mild pulmonary regurgitation • Moderate tricuspid regurgitation • Estimated systolic pulmonary artery pressure is 31.9 mmHg MMode/2D Measurements ＆ Calculations RWT: 0.42 Time Measurements MM R-R int: 0.91sec MMode/2D Value References Ao root diam: 2.8cm [ 2.0-3.8 cm] LVIDd: 3.7cm [ 3.7-5.3 cm] ACS: 1.8cm [ 1.6-2.6 cm] LVIDs: 2.2cm [ 2.4-3.6 cm] LA dimension: 2.8cm [ 1.9-4.0 cm] EDV(Teich): 58.9ml [ 80-180 ml] [ 0.5-2.1 cm] ESV(Teich): 16.2ml [ 16-83 ml] MV E-F slope: 6.7cm/sec [ 8.0-15.0 cm/sec] EF(Teich): 72.5% [ 50-70 %] IVSd: 0.79cm [ 0.7-1.1 cm] FS: 40.9% [FS 34-44 %] LVPWd: 0.96cm [ 0.9-1.1 cm] MM HR: 66.0BPM [ 60-100 BPM] [EPSS ＜0.8 cm] CO(Teich): 2.8l/min [ 2.5-7.2 l/m] [RWT 0.22-0.42] Doppler Measurements ＆ Calculations MV dec slope: 654.0cm/sec2 Ao V2 max: 114.0cm/sec Ao max PG: 5.2mmHg LV V1 max PG: 3.6mmHg TR max vel: 234.0cm/sec LV V1 max: 94.3cm/sec TR max PG: 21.9mmHg sPAP: 31.9mmHg MV E max vel: 118.0cm/sec [＞=50y,62 ± 14,＜50y,72 ± 14] MV A max vel: 81.4cm/sec [＞=50y,59 ± 14,＜50y,40 ± 10] MV E/A: 1.4 [sPAP ＜ 35mmHg] MV dec time: 0.18sec [DT 0.16-0.22 sec] LV IVRT: 0.09sec [ 0.07-0.09 sec] Ventricles • Normal sizes of ventricular chambers • LVEF by M-mode is 72.5 % • Regional wall motion abnormality • Mitral inflow: E/A ratio : 1.4 • Isovolemic relaxation time is 0.09 sec • Deceleration time of mitral inflow 0.18 sec • Tissue Doppler: E’/A’ ＜1 • Septal E’ : 9.2 cm/s • Lateral E’ : 11.0 cm/s • E/E’(Lateral) : 10.7 Atrium • Normal sizes of atrial chambers Valves • Increase thinkness of MV with borderline elongated chordae of MV • Increased echogenicity of AV. • There is diastolic prolapse of the aortic valve leaflets(s)