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.
