二尖瓣反流的诊断与管理
Diagnosing and managing mitral regurgitation.
作者信息
Coleman Wesley, Weidman-Evans Emily, Clawson Rebecca
机构信息
Wesley Coleman practices at Griffin Family Medicine in Alexandria, La. Emily Weidman-Evans is a clinical associate professor and Rebecca Clawson is a clinical instructor in the PA program at Louisiana State University Health Sciences Center in Shreveport, La. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2017 Jun;30(6):11-14. doi: 10.1097/01.JAA.0000516342.41351.6d.
Mitral regurgitation is the most prevalent valvular disorder in the United States. Patient presentation varies from asymptomatic to symptoms of severe heart failure. Primary care providers often are the first to detect mitral regurgitation as a result of careful auscultation. Medical management focuses on reducing cardiac workload, combating cardiac remodeling, and treating left ventricular failure. Surgical management is reserved for severe cases.
二尖瓣反流是美国最常见的瓣膜疾病。患者表现从无症状到严重心力衰竭症状不等。由于仔细听诊，初级保健提供者往往是最先发现二尖瓣反流的。药物治疗侧重于减轻心脏负荷、对抗心脏重塑以及治疗左心室衰竭。手术治疗则适用于严重病例。
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