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高安动脉炎伴主动脉瓣关闭不全及冠状动脉开口闭塞

Takayasu's arteritis with associated aortic insufficiency and coronary ostial obliteration.

作者信息

Castlemain Theresa M

机构信息

Kansas University School of Nursing, Overland Park, Kansas 66221, USA.

出版信息

J Am Acad Nurse Pract. 2010 Jun;22(6):305-11. doi: 10.1111/j.1745-7599.2010.00512.x.

DOI:10.1111/j.1745-7599.2010.00512.x
PMID:20536628
Abstract

PURPOSE

To describe the presentation, assessment, and management of Takayasu's arteritis (TA), a rare vascular condition exhibited predominantly in females in their second and third decades of life.

DATA SOURCES

Thorough review of current scientific literature was obtained from electronic databases and medical journals (CINAHL and PubMed). A case study is presented to illustrate TA, which was reviewed and approved by the Human Subjects Committee for the release of protected health information.

CONCLUSIONS

Clinical presentation of TA varies depending on the location of vessel involvement. Diagnosis is challenging because of the complex pathogenesis of TA. The chronic nature of TA requires ongoing evaluation and adjustment of medication regimens. The patient's quality of life is improved with maintenance of TA in a quiescent state.

IMPLICATIONS FOR PRACTICE

Presentation of a young woman with symptoms suggestive of vascular inflammatory changes should prompt consideration of TA within the differential diagnosis.

摘要

目的

描述大动脉炎(TA)的临床表现、评估及管理,TA是一种罕见的血管疾病,主要发生于二三十岁的女性。

数据来源

通过电子数据库和医学期刊(CINAHL和PubMed)对当前科学文献进行全面检索。呈现一个病例研究以阐释TA,该病例研究经人体受试者委员会审核并批准,以发布受保护的健康信息。

结论

TA的临床表现因血管受累部位而异。由于TA发病机制复杂,诊断具有挑战性。TA的慢性特性需要持续评估并调整药物治疗方案。将TA维持在静止状态可改善患者生活质量。

对实践的启示

年轻女性出现提示血管炎性改变的症状时,应在鉴别诊断中考虑TA。

相似文献

1
Takayasu's arteritis with associated aortic insufficiency and coronary ostial obliteration.高安动脉炎伴主动脉瓣关闭不全及冠状动脉开口闭塞
J Am Acad Nurse Pract. 2010 Jun;22(6):305-11. doi: 10.1111/j.1745-7599.2010.00512.x.
2
[Cardiac manifestations of Takayasu's arteritis: apropos of 5 cases].[高安动脉炎的心脏表现:附5例报告]
Rev Med Interne. 1999 Jun;20(6):476-82. doi: 10.1016/s0248-8663(99)80082-4.
3
A case of Takayasu's arteritis and aortic regurgitation, which presented much difficulty in the diagnosing process because of complicated osteomyelitis and non-typical manifestations.一例 Takayasu 动脉炎伴主动脉瓣反流,由于复杂的骨髓炎和非典型表现,在诊断过程中带来了很大的困难。
J Cardiol. 2009 Aug;54(1):148-52. doi: 10.1016/j.jjcc.2008.10.007. Epub 2008 Dec 16.
4
[Takayasu's arteritis revealed by aortic regurgitation with ascending aortic aneurysm (About 2 cases)].升主动脉瘤合并主动脉反流所致大动脉炎(附2例报告)
Ann Cardiol Angeiol (Paris). 2008 Aug;57(4):246-50. doi: 10.1016/j.ancard.2007.05.005. Epub 2007 May 30.
5
[Coronary involvement in Takayasu's disease. Apropos of 3 cases, of which 2 were surgically treated, and review of the literature].[高安氏病的冠状动脉受累。关于3例病例,其中2例接受了手术治疗,并复习文献]
Arch Mal Coeur Vaiss. 1984 Apr;77(4):386-96.
6
[Takayasu's arteritis].[高安动脉炎]
Minerva Med. 2000 Jan-Feb;91(1-2):31-8.
7
Severe chronic aortic insufficiency requiring valve replacement: an infrequent complication of Takayasu's disease.需要进行瓣膜置换的严重慢性主动脉瓣关闭不全:一种罕见的大动脉炎并发症。
Echocardiography. 2006 Jul;23(6):495-8. doi: 10.1111/j.1540-8175.2006.00247.x.
8
[Takayasu arteritis associated with heart valve diseases (pulmonary and aortic) and arteritis (coronary and renal)].[与心脏瓣膜疾病(肺动脉和主动脉)及动脉炎(冠状动脉和肾动脉)相关的高安动脉炎]
Arch Inst Cardiol Mex. 1992 Jan-Feb;62(1):33-43.
9
[Heart valvular and coronary manifestations of Takayasu disease. Apropos of a surgically-treated case].[大动脉炎的心脏瓣膜和冠状动脉表现。关于一例手术治疗病例]
Arch Mal Coeur Vaiss. 1992 Dec;85(12):1865-7.
10
Aortic insufficiency caused by Takayasu's arteritis without usual clinical features.无典型临床特征的高安动脉炎所致主动脉瓣关闭不全
Arch Pathol Lab Med. 1981 Dec;105(12):650-1.

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