香港睇醫生網首頁
[ 會員# ] Lam

心搏

病患者女 - 28歲

Hi Doctor, I got lupus for 1x years and just recently did 24 hour ECG and was told 早搏, which I felt extra heart beat in just these few months (not before). Confidently after lupus flared up and after readjust medicine dosages... I wonder if that's related to lupus or simply heart issue. Thank you
  高國進醫生回覆: [ 8/31/2023 ]
Ms. Lam,
Premature ectopic beats are common and benign and will not progress
into malignant conditions. It is quite bothersome as you may feel
thumps in the chest, but that's all it is going to be. Ectopic beats
are produced from an ectopic site in the heart, triggered by physical
or mental stress. The ectopic site in turn produces an electrical
impulse that will function similarly to a normal electrical impulse
but a little stronger. This condition is not exclusive to lupus
erythematosus. Everyone may have a chance of having various degrees of
premature ectopic beats. Only those who have frequent ectopics >10% or
with underlying heart failure that warrants an ablation surgery to
eradicate the ectopic focus in the heart.

Typical lupus heart condition not only have a higher chance of having
ectopics, due to its chronic system inflammatory process, lupus
cardiac complications also include bundle branch blocks, congenital
heart conduction defects, coronary atherosclerosis, myocarditis
(7-10%), pericarditis (11-54%), and a sterile form of endocarditis
that occurs among lupus patients called Libman Sacks endocarditis,
which no oral medication is specifically helpful for this condition,
apart from treating the underlying condition. If the endocarditis
progresses to a point that causes heart failure, then valvular repair
or valvular replacement is indicated.

Dr. Jason Ko

以上資料只供參考,不能作診症用途,
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診,切勿延誤治療。
若資料有所漏誤,本網及相關資料提供者恕不負責。

 其他高國進醫生醫務信箱回覆

Alex : 突然高血壓

病患者男 - 64歲 我爸今年64歲 最近見頭痛 然後度了血壓 上壓徘徊165-180 之間 下壓則.......

wing lo : 心絞痛,心臟病

現時40歲,女,11月份甲狀腺甲亢入院,現在已經減少藥,上個月覆診時,醫生説肝酵素有少少高,寫了轉介信去照肝超.......

mandy 64 : atrial septal defect

病患者女 - 56歲 本人做CT scan, 發現患上 atrial septal defect, 請問.......

Tabo : 身體檢查~心臟

病患者女 - 42歲 如果之前做咗一次心臟超聲波,運動心電圖,心電圖,抽血,照x-ray,報告上是沒有問.......

Tabo : 擔心心臟有事,例如心肌梗塞或其他心臟問題

病患者女 - 42歲 一個月前出現左手內側成日都有刺痛感覺,有時痛到上手臂上或頸及肩又出現少少牙胶痛,左.......

Penny : 心口喉嚨抽搐

病患者男 - 45歲 你好醫生!我經常胃部中位置對上有一下收縮心跳嘅感覺!之後喉嚨兩個鎖骨嘅中間會跟隨有.......

小潘潘 : 影響心藏?

本人想知道ponston止痛药會否影響心藏?.......

Jason : 是否有冠心病或其他心血管病,還是焦慮症

病患者男 - 29歲 今年初曾經係街上因為突然感覺抖唔到氣,心跳很快,心口壓住,之後四肢麻髀,最後cal.......

jack luk : 左胸微痛

病患者男 - 58歲 醫生: 已做過2次通波仔. 2 個月前開始左胸經常微痛, 時有時無. 曾經好.......

Wilfred Lo : 前列腺藥與心臟藥問題

病患者男 - 84歲 本人十多年前曾經做過心臟通波仔手術及最近幾年又有前列腺漲大問題,所以在服用心臓藥 .......

發出提問使用細則
為確保能有效率的發揮信箱回應功能 
醫務信箱暫只限接受已登記會員提問
如欲咨詢相關專業醫護之意見 
敬請先登記成為會員,謝謝支持!
會員登入
電郵:
密碼:
記住密碼 
Copyright©2025 www.seedoctor.com.hk
All rights reserved