心衰竭的可能原因及其評估：一份心電圖超聲報告的分析-心臟血管專科

心臟超音波報告？

我的心臟超音波報告顯示EF值只有51%如下 3年前是63%去年是EF(M52%F54%): 70.8 % 想請問我是否有心衰竭?怎麼才短短3年從63%跌到51% 另外我心臟還有什麼其他功能異常嗎 ?□ Abnormal spetal motion Echo window □ good ■ fair □ poor Tape No: iE33借 IVSt: 9 mm(6-12) LVEDD: 46 mm(36-52) EF: 51 %(49-76) LVPWt: 7 mm(5-11) LVESD: 34 mm(20-36) SV: 67 cc(32-95) LAD: 35 mm(18-38) LVEDV: 132 cc(46-138) ASAO: 29 mm(23-37) Ao Root: 34 mm(23-37) LVESV: 65 cc(10-54) ________________________________________________________________________________________________ Clinical Impression : Chest pain, Palpitations 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: 14 mmHg,RVSP: 22 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 16 mm 9.Additional findings IMPRESSION: 1. No chamber dilatation, normal LV and RV contractility. 2. Borderline LV function with EF of 51 %. 3. Impaired LV relaxation. 4. Mild MR, trivial AR. 5. Mild TR with PG about 14 mmHg, estimated RVSP around 22 mmHg.