婦女疾病
即時提問 ?[ 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
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
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
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。
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。
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