Aikat Shamik, Lewis Jannet F
Department of Internal Medicine, George Washington Universtiy Medical Center, Washington, DC 20037, USA.
Curr Opin Cardiol. 2003 Sep;18(5):334-9. doi: 10.1097/00001573-200309000-00002.
The diagnosis of mitral regurgitation is often made from physical diagnosis, but quantitation of severity of valvular dysfunction and timing of intervention are often quite challenging. The purpose of this review is to examine the recent echocardiographic methods reported for quantitative assessment of mitral regurgitation, and the role of echocardiography in guiding medical and surgical management. Refinement of quantitative methods and development of newer technologies, including three-dimensional echocardiography, provide more accurate assessment of mitral anatomy and function. These methods for evaluation of the mitral valve to ascertain etiology or mechanism have important implications for medical or surgical management. This review summarizes the recent literature addressing the role of echocardiography in the diagnosis, management and prognosis of mitral regurgitation.
二尖瓣反流的诊断通常基于体格检查，但对瓣膜功能障碍严重程度的定量评估以及干预时机的确定往往颇具挑战。本综述的目的是探讨近期报道的用于二尖瓣反流定量评估的超声心动图方法，以及超声心动图在指导药物和手术治疗中的作用。定量方法的改进以及包括三维超声心动图在内的新技术的发展，能更准确地评估二尖瓣的解剖结构和功能。这些评估二尖瓣以确定病因或机制的方法对药物或手术治疗具有重要意义。本综述总结了近期关于超声心动图在二尖瓣反流的诊断、治疗和预后中作用的文献。
