钙化性视网膜栓塞作为严重未被识别的心血管疾病的一个指标。
Calcific retinal embolism as an indicator of severe unrecognised cardiovascular disease.
作者信息
Ramakrishna G, Malouf J F, Younge B R, Connolly H M, Miller F A
机构信息
Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
出版信息
Heart. 2005 Sep;91(9):1154-7. doi: 10.1136/hrt.2004.041814.
OBJECTIVE
To describe the association between calcific retinal embolism (CRE) and cardiac valve stenosis.
DESIGN AND SETTING
Retrospective chart review of patients with clinical criteria for CRE.
PATIENTS
24 patients with CRE who underwent two dimensional echocardiography between 1976 and 1998.
RESULTS
Nine patients (38%) had calcific valve stenosis, which was haemodynamically severe in five patients (four aortic and one mitral), four of whom had no cardiac symptoms. Six patients underwent surgical intervention (aortic valve replacement in three patients, mitral and aortic valve replacement in one patient, removal of calcific cardiac pseudotumour in one patient, and carotid endarterectomy in one patient).
CONCLUSIONS
CRE may be the presenting feature of otherwise asymptomatic, clinically important underlying cardiovascular disease and, in particular, haemodynamically severe calcific valve stenosis.
目的
描述钙化性视网膜栓塞（CRE）与心脏瓣膜狭窄之间的关联。
设计与背景
对符合CRE临床标准的患者进行回顾性病历审查。
患者
1976年至1998年间接受二维超声心动图检查的24例CRE患者。
结果
9例患者（38%）存在钙化性瓣膜狭窄，其中5例（4例主动脉瓣和1例二尖瓣）血流动力学严重狭窄，其中4例无心脏症状。6例患者接受了手术干预（3例患者进行主动脉瓣置换，1例患者进行二尖瓣和主动脉瓣置换，1例患者切除钙化性心脏假瘤，1例患者进行颈动脉内膜切除术）。
结论
CRE可能是潜在无症状但临床上重要的心血管疾病的表现特征，尤其是血流动力学严重的钙化性瓣膜狭窄。
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