心律不整、心電圖檢查報告-心臟血管專科

心律不整、心電圖檢查報告？

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醫師您好,我在2022/03/08做了24小時心電圖後 醫師根據心電圖判斷我有心律不整就開始吃心律不整方面的藥物

目前用藥：
Mexiletine１００公絲 １天一顆
康肯1.25毫克　１天一顆
臟得樂錠　有需要才使用

我這邊主要有幾個問題是

1.依我目前心電圖的情況有需要做電燒嗎? 還是持續用藥即可?
2.我目前這類型的心律不整會有生命危險嗎
3.我目前這類型的心律不整是先天的還是後天造成的
4.今年5月2號 有再做一次24小時心電圖 這次發生了三連跳的情況,想請問醫生這個情況很嚴重嗎? 我詢問主治醫師都是跟我說明如果心跳沒跳回來就會有生命危險 而我從小也沒因心律不整而有昏倒的情況

下面附上我做過的三次24小時心電圖的資料
20220307
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2023/12/01
[Indication] Arrhythmia follow up [General] Recording from:2023/12/01 Duration:23 hours 27 mins Total beats (QRS):115814 beats Average heart rate:82 bpm Maximum heart rate:165 at 09:14:24 Minimum heart rate:45 at 06:23:59 HEART RATE VARIABILITY: ms /mean ------------------------------ Mean ------------------------------ SDNN 173.5 ------------------------------ SDNN-i 52.6 ------------------------------ SDANN-i ------------------------------ r-MSSD 29.6 ------------------------------ PNN50 10.08 ------------------------------ Intervals: ------------------------------ dT(ms) dT(norm) ------------------------------ 5％ ------------------------------ 10％ ------------------------------ 25％ ------------------------------ 50％ ------------------------------ 75％ ------------------------------ 90％ ------------------------------ 95％ ------------------------------ MAJOR RHYTHM: [Ventricular ectopy] VENTRICULAR ECTOPIC ACTIVITIES: VT: 0 NSVT: 0 IVR: 0 Salvo: 0 Couplet: Mono: 0/Poly:0 Triplet: 0 Bigemini: 0 Trigemini: 0 VES: 2 Isolated V: 0 [Atrial ectopy] SUPRAVENTRICULAR ECTOPIC ACTIVITY: SVES: 0 SV Couplet: 0 SV Triplet: 0 PSVT: 0 [Bradys] BRADYCARDIA EVENTS: [Others] [Pacemaker] [Conclusion] SUMMARY: An ambulatory Holter recording was started on 2023/12/1 08:36:20 with a duration of 23:27:51 hours. The average heart rate was 93 bpm during the day, 65 bpm at night and 82 bpm over the complete recording. The maximum heart rate was 165 bpm at 09:14:25. The minimum heart rate was 45 bpm at 06:23:59. The standard deviation over all normal beats was 173.5. In total 115814 beats were found of which 2 were classified as ventricular beats. Ventricular activity: VT: 0 NSVT: 0 IVR: 0 Salvo: 0 Couplet: Mono: 0/Poly:0 Triplet: 0 Bigemini: 0 Trigemini: 0 VES: 2 Isolated V: 0 Supraventricular activity: SVES: 0 SV Couplet: 0 SV Triplet: 0 PSVT: 0 SUGGESTION: Medical treatment first and CV OPD for advanced survey and therapy in discussion

20250501
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Arrhythmia follow up Other:38040660-89799 [General] Recording from:2025/05/01 Duration:23 hours 59 mins Total beats (QRS):98847 beats Average heart rate:69 bpm Maximum heart rate:114 at 10:58:03 Minimum heart rate:44 at 04:54:04 HEART RATE VARIABILITY: ms /mean ------------------------------ Mean ------------------------------ SDNN 145.2 ------------------------------ SDNN-i 65.7 ------------------------------ SDANN-i ------------------------------ r-MSSD 38.7 ------------------------------ PNN50 17.62 ------------------------------ Intervals: ------------------------------ dT(ms) dT(norm) ------------------------------ 5％ ------------------------------ 10％ ------------------------------ 25％ ------------------------------ 50％ ------------------------------ 75％ ------------------------------ 90％ ------------------------------ 95％ ------------------------------ MAJOR RHYTHM: [Ventricular ectopy] VENTRICULAR ECTOPIC ACTIVITIES: VT: 0 NSVT: 0 IVR: 0 Salvo: 0 Couplet: Mono: 0/Poly:0 Triplet:1 Bigemini: 0 Trigemini: 0 VES: 0 Isolated V: 0 [Atrial ectopy] SUPRAVENTRICULAR ECTOPIC ACTIVITY: SVES: 1 SV Couplet: 0 SV Triplet: 0 PSVT: 0 [Bradys] BRADYCARDIA EVENTS: [Others] [Pacemaker] [Conclusion] SUMMARY: An ambulatory Holter recording was started on 2025/5/1 08:08:20 with a duration of 23:59:59 hours. The average heart rate was 74 bpm during the day, 59 bpm at night and 69 bpm over the complete recording. The maximum heart rate was 114 bpm at 10:58:03. The minimum heart rate was 44 bpm at 04:54:04. The standard deviation over all normal beats was 145.2. In total 98847 beats were found of which 3 were classified as ventricular beats. Ventricular activity: VT: 0 NSVT: 0 IVR: 0 Salvo: 0 Couplet: Mono: 0/Poly:0 Triplet:1 Bigemini: 0 Trigemini: 0 VES: 0 Isolated V: 0 Supraventricular activity: SVES: 1 SV Couplet: 0 SV Triplet: 0 PSVT: 0 short run VT (+) SUGGESTION: Medical treatment first and CV OPD for advanced survey and therapy in discussion

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Lin，30~39歲男性，詢問日期：2025/09/04