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一种评估瓣膜反流程度的实用方法。

A practical approach to the quantification of valvular regurgitation.

作者信息

Jacob Ron, Stewart William J

机构信息

Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

出版信息

Curr Cardiol Rep. 2007 Apr;9(2):105-11. doi: 10.1007/BF02938336.

DOI:10.1007/BF02938336
PMID:17430677
Abstract

This article reviews the methods of determining the severity of mitral and aortic regurgitation, primarily the quantitation using Doppler echocardiography. The Doppler methods, including spatial mapping, proximal flow convergence, vena contracta, continuous-wave Doppler density, and upstream or downstream effects are explained. Various practical pitfalls and performance issues that impact the reliability of these techniques are discussed.

摘要

本文回顾了确定二尖瓣和主动脉瓣反流严重程度的方法,主要是使用多普勒超声心动图进行定量分析。文中解释了包括空间映射、近端血流汇聚、缩流宽度、连续波多普勒密度以及上游或下游效应在内的多普勒方法。讨论了影响这些技术可靠性的各种实际缺陷和性能问题。

相似文献

1
A practical approach to the quantification of valvular regurgitation.一种评估瓣膜反流程度的实用方法。
Curr Cardiol Rep. 2007 Apr;9(2):105-11. doi: 10.1007/BF02938336.
2
Assessment of valvular regurgitation with Doppler echocardiography.
Cardiol Clin. 1998 Aug;16(3):405-19, vii. doi: 10.1016/s0733-8651(05)70022-9.
3
[Echocardiography is necessary to confirm the presence and severity of valvular heart disease].超声心动图对于确认瓣膜性心脏病的存在及严重程度是必要的。
Kyobu Geka. 2007 Jul;60(8 Suppl):647-52.
4
[Echocardiography flow quantification for determining the severity of heart valve insufficiency].
Herz. 2002 May;27(3):254-68. doi: 10.1007/s00059-002-2378-3.
5
Prevalence and severity of Doppler-detected valvular regurgitation and estimation of right-sided cardiac pressures in patients with normal two-dimensional echocardiograms.二维超声心动图正常患者中经多普勒检测的瓣膜反流的患病率和严重程度以及右心压力评估
Chest. 1993 Jan;103(1):226-31. doi: 10.1378/chest.103.1.226.
6
Quantification of left-side intracardiac pressures and gradients using mitral and aortic regurgitant velocities by simultaneous left and right catheterization and continuous-wave Doppler echocardiography.通过左右心导管同步检查及连续波多普勒超声心动图,利用二尖瓣和主动脉反流速度对左侧心腔内压力和压力阶差进行定量分析。
Clin Cardiol. 1993 Dec;16(12):863-70. doi: 10.1002/clc.4960161206.
7
Effective regurgitant orifice area: a noninvasive Doppler development of an old hemodynamic concept.有效反流口面积:一个古老血流动力学概念的无创多普勒发展。
J Am Coll Cardiol. 1994 Feb;23(2):443-51. doi: 10.1016/0735-1097(94)90432-4.
8
[The quantification of valvular regurgitation. What new does echocardiography offer?].
G Ital Cardiol. 1995 Sep;25(9):1195-203.
9
[A comparison between mitral and aortic outputs evaluated by Doppler echocardiography in a group of healthy subjects: false regurgitation].
G Ital Cardiol. 1990 Jul;20(7):618-24.
10
Quantitative Doppler assessment of valvular regurgitation.瓣膜反流的定量多普勒评估
Circulation. 1993 Mar;87(3):841-8. doi: 10.1161/01.cir.87.3.841.

引用本文的文献

1
Tricuspid valve dysplasia: A retrospective study of clinical features and outcome in dogs in the UK.三尖瓣发育异常:英国犬类临床特征与预后的回顾性研究
Open Vet J. 2017;7(4):349-359. doi: 10.4314/ovj.v7i4.11. Epub 2017 Dec 9.
2
Assessment of mitral regurgitation severity by Doppler color flow mapping of the vena contracta in dogs.通过犬类收缩期血流会聚区的多普勒彩色血流图评估二尖瓣反流的严重程度。
J Vet Intern Med. 2014 Jul-Aug;28(4):1206-13. doi: 10.1111/jvim.12380. Epub 2014 Jun 16.

本文引用的文献

1
Left atrial size: physiologic determinants and clinical applications.左心房大小:生理决定因素及临床应用
J Am Coll Cardiol. 2006 Jun 20;47(12):2357-63. doi: 10.1016/j.jacc.2006.02.048.
2
Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology.心腔定量推荐:美国超声心动图学会指南与标准委员会及心腔定量写作组的报告,与欧洲心脏病学会下属分支欧洲超声心动图协会联合制定。
J Am Soc Echocardiogr. 2005 Dec;18(12):1440-63. doi: 10.1016/j.echo.2005.10.005.
3
Quantitative determinants of the outcome of asymptomatic mitral regurgitation.
无症状性二尖瓣反流结局的定量决定因素。
N Engl J Med. 2005 Mar 3;352(9):875-83. doi: 10.1056/NEJMoa041451.
4
Evaluation of cardiac valvular disease with MR imaging: qualitative and quantitative techniques.
Radiographics. 2003 Jan-Feb;23(1):e9. doi: 10.1148/rg.e9.
5
Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography.二维和多普勒超声心动图评估原发性瓣膜反流严重程度的建议。
J Am Soc Echocardiogr. 2003 Jul;16(7):777-802. doi: 10.1016/S0894-7317(03)00335-3.
6
Effect of general anesthesia on the severity of mitral regurgitation by transesophageal echocardiography.
Am J Cardiol. 2000 Jan 15;85(2):199-203. doi: 10.1016/s0002-9149(99)00644-x.
7
Assessment of severity of aortic regurgitation using the width of the vena contracta: A clinical color Doppler imaging study.利用收缩期血流宽度评估主动脉反流严重程度:一项临床彩色多普勒成像研究。
Circulation. 2000 Aug 1;102(5):558-64. doi: 10.1161/01.cir.102.5.558.
8
The value of assessing pulmonary venous flow velocity for predicting severity of mitral regurgitation: A quantitative assessment integrating left ventricular function.评估肺静脉血流速度对预测二尖瓣反流严重程度的价值:一项整合左心室功能的定量评估。
J Am Soc Echocardiogr. 1999 Sep;12(9):736-43. doi: 10.1016/s0894-7317(99)70024-6.
9
Application of the proximal flow convergence method to calculate the effective regurgitant orifice area in aortic regurgitation.应用近端血流会聚法计算主动脉瓣反流的有效反流口面积。
J Am Coll Cardiol. 1998 Oct;32(4):1032-9. doi: 10.1016/s0735-1097(98)00356-8.
10
Effects of afterload reduction on vena contracta width in mitral regurgitation.后负荷降低对二尖瓣反流时缩流颈宽度的影响。
J Am Coll Cardiol. 1998 Aug;32(2):427-31. doi: 10.1016/s0735-1097(98)00236-8.