想詢問主任，本身常常覺得心跳快、心悸，之前曾經做過PSVT的電燒手術但誘發失敗，近期又做了幾次檢查，醫生說看起來是混合型的，覺得心房心室都有點問題，有時候跳得快有時候跳得慢還漏拍，但不確定是什麼問題，比較像心房頻脈，醫生不建議再做電燒，建議吃藥控制就好，不過本身我不太想長期吃藥，想詢問主任是否可以再做一次電燒手術？ 以下24小時心電圖報告： （第一次） Holter Report Date of 24-hour recording 20240410 Study for Arrhythmia Antiarrhythmic drug therapy at the time of recording Unknown ANALYSIS RESULT 1 Quality of recording Good 2 Dominant rhythm Sinus 3 Total Beats 138551 beats 4 Minimum heart rate 57 beatsminute 5 Average heart rate 109 beatsminute 6 Maximum heart rate 190 beatsminute at 下午 041955 7 APC couplet AT 000 8 VPC couplet triplet bigeminy 0000 9 VT idioventricular rhythm 00 10 Ventricular pause ＞ 2 seconds 0 11 Atrial fibrillationflutter 0 【Conclusion】  Sinus rhythm.  Frequent sinus tachycardia even at midnight.  No significantlong pause.  PSVT was noted （第二次） 1. Dominant rhythm Sinus rhythm. Maximal HR 190 bpm occurred at 2123.Minimal HR 60 bpm occurred at 0700.Hourly average HR 100 bpm. 2. Ventricular extra systole count There were rare PVC. 1 beats24hours0.0 . 3. Supraventricular extra systole count There were rare PAC. 39 beats24hours0.0 . 4. Pause No. 5.Total Beats 137106 beats 心臟超音波： 2DM-mode and doppler Cardiac chamber sizeWall thickness Aortic root 20-37mm 22 LAD 19-40mm 32 RAD mm - LVIDd 35-51mm 41 LVIDs 28-35mm 26 RVD1 ＜42mm - VS 6-10mm 8 PW 6-10mm 8 Apex wall 6-10mm - DopplerM-mode Mitral EA 2.1 Lat. E’A’ 2.3 Lat. E’ 13.8cms ELat. E’ 7.1 - Normal heart chamber size. - Preserved LV and RV systolic function LVEF 69. - Preserved LV diastolic function. Heart valves - MR minimal. - TR mild. RVSP 34mmHg. - PR mild. Summary - Normal biventricular systolic function. Mitral valve prolapse 想詢問醫生我的LVEF跟PVSP值是否正常？ 是代表我有二尖瓣脫垂及三尖瓣、二尖瓣、肺動脈辦閉鎖不全嗎？常常走路覺得喘不知道是否這個原因？PVC和PAC第一次都沒有檢查出來 第二次卻多了好多次 不知道什麼原因？🥲 再麻煩主任幫我解讀報告謝謝主任🙏
心臟超音波報告顯示二尖瓣脫垂及極輕微的二尖瓣逆流，其他構造及功能皆正常。24小時心電圖報告顯示只有極少數的P V C及P A C，不需要再做電燒手術。