心臟超音波與24小時心電圖報告分析-心臟血管專科

心臟超音波 24小時心電圖？

---

醫生你好
最近感覺心跳都一下快一下慢，常常還會感覺到漏拍，不知道是不是心裡作用都會感覺心臟附近痛痛的，想請醫生看一下超音波跟24小時心電圖報告有沒有什麼問題

24小時心電圖
收縮壓: mmHg 舒張壓: mmHg 心跳速率 : BPM 臨床診斷 : INDICATION : CURRENT MEDICATIONS : SYMPTOMS : INTERPRETATION : The baseline ECG rhythm was Sinus rhythm with mean HR 74bpm (52~126bpm) Occasionally VPCs , Isolated ＆ Trigeminy No evidence of VT or SVT No evidence of long-pause with longest R-R :1.5 sec at 4:06:34am No significant ST segment deviation on channel recording No daily recording IMPRESSION : Occasionally VPCs SUGGESTION : Medication control

心臟超音波
收縮壓 : mmHg 舒張壓 : mmHg 心跳速率 : BPM 機型 : 臨床診斷 : INDICATION : CARDIOLOGIST’S COMMENTS : 1.Mitral valve prolapse with mild MR 2.No regional wall motion abnormality with normal LV global contractility. LVEF=69.3% 3.Mild AR 4.Mild TR with normal PA pressure . RVSP=28mmHg 5.No pericardial effusion 6. 7. 8. 9. IMPRESSION : 1. MVP with mild MR 2. Mild AR 3. Mild TR SUGGESTION : Medical control and CV OPD follow-up ============================================================================================= CHAMBER SIZE : AOD : 26.5 mm(16-40) LAD : 38.5 mm(18-40) RVD : mm(10-20) IVSd : 8.19 mm( 6-12) PWTd : 8.67 mm( 7-12) LVDd: 48.2 mm(45-55) LVDs : 29.4 mm(30-45) LVEDV: mL(14-140) LVESV: mL(27-95) RAD : mm(18-40) EF(M): 69.3 % (50-80) FS(M): 39.0 % (25-44) VALVULAR ABNORMALITY : Mitral valve prolapsed (MVP) PROSTHETIC VALVE : REGIONAL WALL MOTION ABNORMALITY : SCORE: 1 = N

杜卜勒氏彩色心臟血流圖
收縮壓 : mmHg 舒張壓 : mmHg 心跳速率 : BPM 機型 : 臨床診斷 : INDICATION : CARDIOLOGIST’S COMMENTS : 1.Mitral valve prolapse with mild MR 2.No regional wall motion abnormality with normal LV global contractility. LVEF=69.3% 3.Mild AR 4.Mild TR with normal PA pressure . RVSP=28mmHg 5.No pericardial effusion 6. 7. 8. 9. IMPRESSION : 1. MVP with mild MR 2. Mild AR 3. Mild TR SUGGESTION : Medical control and CV OPD follow-up ============================================================================================= CHAMBER SIZE : AOD : 26.5 mm(16-40) LAD : 38.5 mm(18-40) RVD : mm(10-20) IVSd : 8.19 mm( 6-12) PWTd : 8.67 mm( 7-12) LVDd: 48.2 mm(45-55) LVDs : 29.4 mm(30-45) LVEDV: mL(14-140) LVESV: mL(27-95) RAD : mm(18-40) EF(M): 69.3 % (50-80) FS(M): 39.0 % (25-44) VALVULAR ABNORMALITY : Mitral valve prolapsed (MVP) PROSTHETIC VALVE : REGIONAL WALL MOTION ABNORMALITY : SCORE: 1 = N

麻煩醫生了 謝謝

---

希，20~29歲女性，詢問日期：2024/07/08