Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA.
Cardiol Clin. 2011 May;29(2):191-9. doi: 10.1016/j.ccl.2011.01.003.
Cardiac catheterization historically has been the principal diagnostic modality for the evaluation of constrictive pericarditis, restrictive cardiomyopathy, and cardiac tamponade. In many instances, the hemodynamic consequences of these disorders can be accurately delineated with non-invasive methods. However, cardiac catheterization should be considered when there is a discrepancy between the clinical and non-invasive imaging data, and particularly may be required for the evaluation of patients with complex hemodynamic disorders. This report describes the methods and clinical utility of invasive hemodynamic catheterization for the evaluation of constriction, restriction, and cardiac tamponade.
心脏导管术在历史上一直是评估缩窄性心包炎、限制型心肌病和心脏压塞的主要诊断方式。在许多情况下,这些疾病的血流动力学后果可以通过非侵入性方法准确描述。然而,当临床和非侵入性成像数据存在差异时,应考虑进行心脏导管术,特别是对于评估血流动力学复杂的患者可能需要进行该检查。本报告描述了用于评估缩窄、限制和心脏压塞的有创血流动力学导管术的方法和临床应用。