请再帮我看看我心脏的检查报告 - 谢谢

没想到今年的年检问题多多。LVEF 降低，右心室收缩功能降低。这个问题严重吗？需要吃药吗？做了stress test, 结果正常。服用Q10会有帮助吗？

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.