心臟超音波和杜卜勒氏彩色心臟血流圖檢查疑問的解決方案-心臟血管專科

心臟超音波和杜卜勒氏彩色心臟血流圖 檢查疑問？

醫生您好,我在四個月前有因心臟胸悶不舒服去做超音波檢查和杜卜勒氏彩色心臟血流圖,檢查如下請問檢查的結果有甚麼問題嗎,有甚麼我該注意的?我當下聽不懂主治醫生說的意思,今天想到再上來請教醫師解答感謝□ Abnormal spetal motion Echo window □ good ■ fair □ poor Tape No: iE33 IVSt: 9 mm(6-12) LVEDD: mm(36-52) EF: 53 %(49-76) LVPWt: 8 mm(5-11) LVESD: mm(20-36) SV: 69 cc(32-95) LAD: 37 mm(18-38) LVEDV: 130 cc(46-138) ASAO: 36 mm(23-37) Ao Root: 40 mm(23-37) LVESV: 61 cc(10-54) ________________________________________________________________________________________________ Clinical Impression : Hypertensive heart disease ASSESSMENT: 1.Heart size: ■ normal; □ dilatation of ;□ thickening of ; □ LV mass index gm/㎡ 2.Pericardial effusion: ■ nil; □ small(＜100ml); □ mod(100-300ml); □ large(300ml); □ tamponade 3.LV systolic function: □ good; □ fair; ■ boderline; □ slightly impaired; □ poor; 4.LV diastolic function: ■ normal; □ impaired relaxation; □ pseudonormal; □ restrictive; □reversible restrictive; □ fixed restrictive 5.Valvular lesion: ■ yes; □ no; MS □ trivial; □ mild; □ mod; □severe;(Vmax: m/s;PG max; mmHg;PG mean: mmHg) (Amv(Doppler): cm2;Amv(2D): cm2) MR □ trivial; □ mild; □ mod; □severe; AS □ trivial; □ mild; □ mod; □severe; (Vav: m/s;Vlvot: m/s;Alvot: ;Aav: ) AR ■ trivial; □ mild; □ mod; □severe; TS □ trivial; □ mild; □ mod; □severe; (Vmax: m/s) TR ■ trivial; □ mild; □ mod; □severe; (Vmax: m/s:PG: 19 mmHg,RVSP: 27 mmHg) PS □ trivial; □ mild; □ mod; □severe; (Vmax: m/s:PG: mmHg) PR □ trivial; □ mild; □ mod; □severe; 6.Congenital: ■ Nil; □ ASD; □ VSD; □ PDA; □ T/F; □ others; 7.Asynergy: ■ Nil; □ hypokinesis □ akinesis of segments□ dyskinesis of segments 8.RV systolic function: ■ normal, □ impaired; IVC 19 mm 9.Additional findings IMPRESSION: 1. No chamber dilation; no regional wall motion abnormality 2. Borderline LV systolic function, estimate LVEF about 53% 3. Trivial AR 4. Trivial TR, PG: 19 mmHg, estimate RVSP about 27 mmHg□ Abnormal spetal motion Echo window □ good ■ fair □ poor Tape No: iE33 IVSt: 9 mm(6-12) LVEDD: mm(36-52) EF: 53 %(49-76) LVPWt: 8 mm(5-11) LVESD: mm(20-36) SV: 69 cc(32-95) LAD: 37 mm(18-38) LVEDV: 130 cc(46-138) ASAO: 36 mm(23-37) Ao Root: 40 mm(23-37) LVESV: 61 cc(10-54) ________________________________________________________________________________________________ Clinical Impression : Hypertensive heart disease ASSESSMENT: 1.Heart size: ■ normal; □ dilatation of ;□ thickening of ; □ LV mass index gm/㎡ 2.Pericardial effusion: ■ nil; □ small(＜100ml); □ mod(100-300ml); □ large(300ml); □ tamponade 3.LV systolic function: □ good; □ fair; ■ boderline; □ slightly impaired; □ poor; 4.LV diastolic function: ■ normal; □ impaired relaxation; □ pseudonormal; □ restrictive; □reversible restrictive; □ fixed restrictive 5.Valvular lesion: ■ yes; □ no; MS □ trivial; □ mild; □ mod; □severe;(Vmax: m/s;PG max; mmHg;PG mean: mmHg) (Amv(Doppler): cm2;Amv(2D): cm2) MR □ trivial; □ mild; □ mod; □severe; AS □ trivial; □ mild; □ mod; □severe; (Vav: m/s;Vlvot: m/s;Alvot: ;Aav: ) AR ■ trivial; □ mild; □ mod; □severe; TS □ trivial; □ mild; □ mod; □severe; (Vmax: m/s) TR ■ trivial; □ mild; □ mod; □severe; (Vmax: m/s:PG: 19 mmHg,RVSP: 27 mmHg) PS □ trivial; □ mild; □ mod; □severe; (Vmax: m/s:PG: mmHg) PR □ trivial; □ mild; □ mod; □severe; 6.Congenital: ■ Nil; □ ASD; □ VSD; □ PDA; □ T/F; □ others; 7.Asynergy: ■ Nil; □ hypokinesis □ akinesis of segments□ dyskinesis of segments 8.RV systolic function: ■ normal, □ impaired; IVC 19 mm 9.Additional findings IMPRESSION: 1. No chamber dilation; no regional wall motion abnormality 2. Borderline LV systolic function, estimate LVEF about 53% 3. Trivial AR 4. Trivial TR, PG: 19 mmHg, estimate RVSP about 27 mmHg