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[退行性(非炎性)钙化相关主动脉瓣狭窄与风湿性钙化所致主动脉瓣狭窄之间的差异]

[Differences between degenerative (non-inflammatory) calcinosis- related stenosis of the aortic valve and the rheumatic calcinosis- induced aortic valve stenosis].

作者信息

Kushakovskiĭ M S, Baliabin A A

出版信息

Kardiologiia. 1991 Jan;31(1):56-9.

PMID:2046252
Abstract

Calcified aortic valves were detected in 109 patients studied in hospital by an echocardiographic method (2D- and M-scanning). It was found that, unlike rheumatism, calcification starting in the aortic annulus and semilunar bases might result in formation of degenerative (non-inflammatory) calcific aortic stenosis. The latter differs from rheumatic aortic stenosis in commissural fusions. The authors defined clinical and echocardiographic differentially diagnostic criteria for degenerative (non-inflammatory) and rheumatic (inflammatory) calcific aortic stenosis. They also discussed pathogenetic aspects of aortic valve calcification and problems of terminology.

摘要

通过超声心动图方法(二维和M型扫描)对109例住院患者进行检查,发现了钙化主动脉瓣。结果发现,与风湿性病变不同,始于主动脉瓣环和半月瓣基部的钙化可能导致退行性(非炎性)钙化性主动脉瓣狭窄的形成。后者在瓣叶融合方面与风湿性主动脉瓣狭窄不同。作者确定了退行性(非炎性)和风湿性(炎性)钙化性主动脉瓣狭窄的临床和超声心动图鉴别诊断标准。他们还讨论了主动脉瓣钙化的发病机制方面及术语问题。

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