運動心電圖檢查結果是否需要進一步的心導管檢查?-心臟血管專科

運動心電圖？

前天有去醫院進行心臟超音波&運動心電圖檢查,但目前健保屬上看不到運動心電圖資料,但醫生只有很簡單的運動心電圖看起來有缺氧的狀況,建議安排下週心導管檢查..附上兩種超音波資料,想問問這樣看得出是否有需要做心導管檢查嗎??因為是侵入性的檢查還是有點害怕>< 謝謝醫生~-杜卜勒氏超音波心臟圖This was essentially a normal study. The left ventricle is grossly normal in size and shape. The LVsystolic function is normal (performed by LC Yeh) M Mode /2D Measurements ＆ Calculatents IVSd:0.92 cm LVIDd: 4.3 cm IVS/LVPW: 1.00 EDV(cubed): 79.6 ml LV mass(C)d: SV(Teich): 62.1 ml 126.3grams TAPSE: 2.8 cm LVIDs: 2.44 cm FS: 43.3 % ESV(cubed): 14.5 ml LV mass(C)dI: SI(Teich): 35.1ml/m2 71.3 grams/m2 LVPWd: 0.92 cm EDV(Teich): 83.2 ml EF(cubed): 81.7 % IVC Diam Ins(MM)_phlSV(cubed): 65.1 ml : 1.04 cm LVIDs Index: ESV(Teich): 21.0 ml IVC Diam Exp(MM)_phl SI(cubed): 36.8ml/m2 1.38 cm: 1.47 cm RWT_: 0.43 EF(Teich): 74.7 % LA dimension: 3.8 cm Doppler Measurements ＆Calculations MV E max vel: TR max vel: MV dec time: Med Peak A’ Vel: PA acc slope: E/E’: 5.2 63.0cm/sec 119.4 cm/sec 0.14 sec 7.0 cm/sec 627.1 cm/sec2 MV A max vel: TR max PG: 5.7 mmHg Med PeakE’ Vel: PA acc time: 0.14 sec Lat A’ vel: 9.4 cm/sec 47.6 cm/sec12.1 cm/sec MV E/A: 1.32 Lat PeakE’ Vel: 13.9 cm/sec TA S’: 13.1 cm/sec Left Ventricle The left ventricle is grossly normal insize and shape. The LV systolicfunction is normal. No regional wall motion abnormality was noted.Left Atrium The left atrial size is normal. Right Heart The right ventricle is normal in size andfunction. Normal right atrial size.The tricuspid valve is grossly normal. The pulmonic valve isgrossly normal. Aortic Valve Normal in structure and function. Mitral Valve Normal mitral valvemorphalogy. Great Vessel The aortic root is normal size. PE There is no pericardial effusion. Mode2D+ Doppler.-超音波心臟圖(包括單面、雙面)m2 : ------------------------------------------------------------------------------+ ConclusionsThis was essentially a normal study. The left ventricle is grossly normal in size and shape. The LVsystolic function is normal (performed by LC Yeh) M Mode /2D Measurements ＆ Calculatents IVSd:0.92 cm LVIDd: 4.3 cm IVS/LVPW: 1.00 EDV(cubed): 79.6 ml LV mass(C)d: SV(Teich): 62.1 ml 126.3grams TAPSE: 2.8 cm LVIDs: 2.44 cm FS: 43.3 % ESV(cubed): 14.5 ml LV mass(C)dI: SI(Teich): 35.1ml/m2 71.3 grams/m2 LVPWd: 0.92 cm EDV(Teich): 83.2 ml EF(cubed): 81.7 % IVC Diam Ins(MM)_phlSV(cubed): 65.1 ml : 1.04 cm LVIDs Index: ESV(Teich): 21.0 ml IVC Diam Exp(MM)_phl SI(cubed): 36.8ml/m2 1.38 cm: 1.47 cm RWT_: 0.43 EF(Teich): 74.7 % LA dimension: 3.8 cm Doppler Measurements ＆Calculations MV E max vel: TR max vel: MV dec time: Med Peak A’ Vel: PA acc slope: E/E’: 5.2 63.0cm/sec 119.4 cm/sec 0.14 sec 7.0 cm/sec 627.1 cm/sec2 MV A max vel: TR max PG: 5.7 mmHg Med PeakE’ Vel: PA acc time: 0.14 sec Lat A’ vel: 9.4 cm/sec 47.6 cm/sec12.1 cm/sec MV E/A: 1.32 Lat PeakE’ Vel: 13.9 cm/sec TA S’: 13.1 cm/sec Left Ventricle The left ventricle is grossly normal insize and shape. The LV systolicfunction is normal. No regional wall motion abnormality was noted.Left Atrium The left atrial size is normal. Right Heart The right ventricle is normal in size andfunction. Normal right atrial size.The tricuspid valve is grossly normal. The pulmonic valve isgrossly normal. Aortic Valve Normal in structure and function. Mitral Valve Normal mitral valvemorphalogy. Great Vessel The aortic root is normal size. PE There is no pericardial effusion. Mode2D+ Doppler.