血流动力学显著的单纯继发孔型房间隔缺损的临床检测

Clinical Detection of Hemodynamically Significant Isolated Secundum Atrial Septal Defect.

作者信息

Geggel Robert L

机构信息

Department of Cardiology, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.

出版信息

J Pediatr. 2017 Nov;190:261-264.e1. doi: 10.1016/j.jpeds.2017.07.037. Epub 2017 Sep 14.

DOI:10.1016/j.jpeds.2017.07.037

PMID:28918881

Abstract

The diagnosis of secundum atrial septal defect often is delayed. For 310 patients with hemodynamically significant secundum atrial septal defect undergoing closure over a 5-year period at a single medical center, this study reviews the symptoms prompting referral, limitations of physical examination and electrocardiography, and basis for initially missing the diagnosis.

摘要

继发孔型房间隔缺损的诊断常常被延误。在一家医疗中心，对310例在5年期间接受封堵治疗的有血流动力学意义的继发孔型房间隔缺损患者，本研究回顾了促使患者前来就诊的症状、体格检查和心电图的局限性，以及最初漏诊的原因。