請再幫我看看我心髒的檢查報告 - 謝謝

沒想到今年的年檢問題多多。LVEF 降低，右心室收縮功能降低。這個問題嚴重嗎？需要吃藥嗎？做了stress test, 結果正常。服用Q10會有幫助嗎？

US ECHOCARDIOGRAM NON COMPLEX 

LA VOL INDEX 13 ml/m2 (<34 ml/m2) RA AREA 7 cm2 (<=18 cm2 ) RA VOL INDEX 9 ml/m2 (<33 ml/m2) AORTA (BASE) 25 mm (<36 mm) AORTA (ASC) 31 mm (<35 mm) PEAK AO VELOCITY 1.3 m/s (<2.5m/s) RT VENTRICLE 23 mm (25-41 mm) TAPSE 14 mm (>16mm) LV END DIASTOLE 43 mm (37.8-52.2 mm) SEPTUM 7 mm (<9 mm) POST WALL 7 mm (<9 mm) LV MASS INDEX 58 g/m2 (44-88 g/m2) RWT 0.33 (<=0.42)

HISTORY: Abnormal EKG ischemia.

RATE AND RHYTHM: Normal sinus.

IMAGE QUALITY: Satisfactory.

CHAMBER STRUCTURE AND SYSTOLIC FUNCTION

Left Ventricle: Normal dimension, and wall thickness. LVEF is 48% by Simpson's. No regional wall motion abnormality.

Left Atrium: Normal dimension based on volume index.

Right Ventricle: TAPSE mildly reduced at 14 mm suggesting decreased systolic function. Right Atrium: Normal dimension.

DIASTOLIC FUNCTION: Normal. VALVULAR STRUCTURE AND FUNCTION Mitral Valve: Normal structure. No stenosis or regurgitation.

Aortic Valve: Normal trileaflet structure. No stenosis or regurgitation.

Tricuspid Valve: Normal structure. No stenosis or significant regurgitation.

Pulmonic Valve: Normal structure. No stenosis or regurgitation.

PULMONARY ARTERIAL PRESSURE: Insufficient TR for assessment of RVSP. Normal central venous pressure estimate of 3 mmHg based on appearance of the IVC.

Effusions: No pleural or pericardial effusion.

Aorta: The base/root measures 25 mm. The ascending aorta measures 31 mm.

Other: None.

IMPRESSION Depressed LVEF and depressed right ventricular systolic function.

所有跟帖： 

• Normal LVEF is about 55% -borisg- ♂ (125 bytes) () 09/04/2023 postreply 00:53:45

• 謝謝回複。血壓正常，其它的原因是不是要繼續檢查才能確定？ -也想知道- ♀ (0 bytes) () 09/04/2023 postreply 06:02:46

• LVEF輕度降低，嚴重不嚴重，需要不需要治療都要與臨床結合。病史，年齡，症狀（氣短運動耐受下降等）？為什麽做Echo？ -老道- ♂ (692 bytes) () 09/04/2023 postreply 06:14:51

• 謝謝老道這兩天解答我的疑問。就是年檢，常規的ECG，我的家醫發現我心肌缺血，隨後讓我做了以上的那些檢查。本人54歲， -也想知道- ♀ (736 bytes) () 09/04/2023 postreply 08:23:20

• 聽你的醫生的吧，注意飲食適度加強鍛煉，一定要定期體檢。更年期前女性得心血管疾病的危險要小於男性，但更年期以後女性的危險性 -老道- ♂ (93 bytes) () 09/04/2023 postreply 15:08:27