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Leaning Too Much on the Power of Proximal Isovelocity Surface Area? Don't Forget the Volumetric Method for Quantifying Functional Mitral Regurgitation.

作者信息

Hu Ray, Chen Tiffany

机构信息

Division of Cardiovascular Medicine Hospital of the University of Pennsylvania Philadelphia PA.

出版信息

J Am Heart Assoc. 2021 Jun;10(11):e021914. doi: 10.1161/JAHA.121.021914. Epub 2021 May 22.

DOI:10.1161/JAHA.121.021914
PMID:34027679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8483521/
Abstract
摘要

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1
Leaning Too Much on the Power of Proximal Isovelocity Surface Area? Don't Forget the Volumetric Method for Quantifying Functional Mitral Regurgitation.是否过度依赖近端等速表面积法的力量？别忘了用于量化功能性二尖瓣反流的容积法。
J Am Heart Assoc. 2021 Jun;10(11):e021914. doi: 10.1161/JAHA.121.021914. Epub 2021 May 22.
2
Three-dimensional echocardiography to quantify mitral valve regurgitation.三维超声心动图定量二尖瓣反流。
Curr Opin Cardiol. 2012 Sep;27(5):477-84. doi: 10.1097/HCO.0b013e3283562d67.
3
Geometry of the proximal isovelocity surface area in mitral regurgitation by 3-dimensional color Doppler echocardiography: difference between functional mitral regurgitation and prolapse regurgitation.三维彩色多普勒超声心动图测量二尖瓣反流近端等速表面积的几何学特征：功能性二尖瓣反流与脱垂性反流的差异
Am Heart J. 2008 Feb;155(2):231-8. doi: 10.1016/j.ahj.2007.09.002. Epub 2007 Oct 25.
4
PRO: Proximal isovelocity surface area should be routinely measured in evaluating mitral regurgitation.专家共识：在评估二尖瓣反流时，应常规测量近端等速表面积。
Anesth Analg. 2007 Oct;105(4):947-8. doi: 10.1213/01.ane.0000278082.05309.a1.
5
CON: Proximal isovelocity surface area should not be measured routinely in all patients with mitral regurgitation.反对意见：对于所有二尖瓣反流患者，不应常规测量近端等速表面积。
Anesth Analg. 2007 Oct;105(4):944-6. doi: 10.1213/01.ane.0000278524.33706.95.
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Proximal isovelocity surface area should be routinely measured in evaluating mitral regurgitation: a core review.在评估二尖瓣反流时应常规测量近端等速表面积：核心综述。
Anesth Analg. 2007 Oct;105(4):940-3. doi: 10.1213/01.ane.0000278084.35122.4e.
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Comparative quantification of primary mitral regurgitation by computer modeling and simulated echocardiography.计算机建模与模拟超声心动图对原发性二尖瓣反流的定量比较。
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Quantification of mitral and tricuspid regurgitation by the proximal flow convergence method using two-dimensional colour Doppler and colour Doppler M-mode: influence of the mechanism of regurgitation.使用二维彩色多普勒和彩色多普勒M型通过近端血流会聚法对二尖瓣和三尖瓣反流进行定量分析：反流机制的影响
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Quantification of mitral regurgitation by the proximal flow convergence method--comparison of transthoracic and transesophageal echocardiography.经胸与经食管超声心动图近端血流会聚法对二尖瓣反流的定量分析——比较
Clin Cardiol. 2002 Nov;25(11):517-24. doi: 10.1002/clc.4960251108.
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Reproducibility of the proximal flow convergence method in mitral and tricuspid regurgitation.二尖瓣和三尖瓣反流中近端血流会聚法的可重复性。
Am Heart J. 2004 Apr;147(4):721-8. doi: 10.1016/j.ahj.2003.11.006.

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J Clin Med. 2025 Jun 26;14(13):4518. doi: 10.3390/jcm14134518.

本文引用的文献

1
Optimal Quantification of Functional Mitral Regurgitation: Comparison of Volumetric and Proximal Isovelocity Surface Area Methods to Predict Outcome.优化功能性二尖瓣反流的定量评估：容积法与近等速表面积法预测结局的比较。
J Am Heart Assoc. 2021 Jun;10(11):e018553. doi: 10.1161/JAHA.120.018553. Epub 2021 May 22.
2
Reconciling COAPT and Mitra-FR Results Based on Mitral Regurgitation Severity and Left Ventricular Size: It's Not So Simple.基于二尖瓣反流严重程度和左心室大小协调COAPT和Mitra-FR结果：并非如此简单。
JAMA Cardiol. 2021 Apr 1;6(4):376-378. doi: 10.1001/jamacardio.2020.7214.
3
Association of Effective Regurgitation Orifice Area to Left Ventricular End-Diastolic Volume Ratio With Transcatheter Mitral Valve Repair Outcomes: A Secondary Analysis of the COAPT Trial.有效瓣口反流面积与左心室舒张末期容积比与经导管二尖瓣修复术结局的关系：COAPT 试验的二次分析。
JAMA Cardiol. 2021 Apr 1;6(4):427-436. doi: 10.1001/jamacardio.2020.7200.
4
Impact of Myocardial Scar on Prognostic Implication of Secondary Mitral Regurgitation in Heart Failure.心肌瘢痕对心力衰竭继发二尖瓣反流预后意义的影响。
JACC Cardiovasc Imaging. 2021 Apr;14(4):812-822. doi: 10.1016/j.jcmg.2020.11.004. Epub 2020 Dec 16.
5
Impact of Proportionality of Secondary Mitral Regurgitation on Outcome After Transcatheter Mitral Valve Repair.继发性二尖瓣反流程度对经导管二尖瓣修复术后结局的影响。
JACC Cardiovasc Imaging. 2021 Apr;14(4):715-725. doi: 10.1016/j.jcmg.2020.05.042. Epub 2020 Aug 26.
6
Regurgitant Volume/Left Ventricular End-Diastolic Volume Ratio: Prognostic Value in Patients With Secondary Mitral Regurgitation.反流容积/左心室舒张末期容积比值：对继发性二尖瓣反流患者的预后价值
JACC Cardiovasc Imaging. 2021 Apr;14(4):730-739. doi: 10.1016/j.jcmg.2020.06.032. Epub 2020 Aug 19.
7
An Appraisal of the Association of Clinical Outcomes With the Severity of Regurgitant Volume Relative to End-Diastolic Volume in Patients With Secondary Mitral Regurgitation.评价继发性二尖瓣反流患者反流容积与舒张末期容积比值与临床转归的相关性。
JAMA Cardiol. 2020 Apr 1;5(4):476-481. doi: 10.1001/jamacardio.2019.5980.
8
Disproportionate Emphasis on Proportionate Mitral Regurgitation-Are There Better Measures of Regurgitant Severity?对比例性二尖瓣反流的过度强调——是否存在更好的反流严重程度测量方法？
JAMA Cardiol. 2020 Apr 1;5(4):377-379. doi: 10.1001/jamacardio.2019.6235.
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ESC Heart Fail. 2019 Aug;6(4):678-685. doi: 10.1002/ehf2.12491. Epub 2019 Jul 25.
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The Effect of Systolic Variation of Mitral Regurgitation on Discordance Between Noninvasive Imaging Modalities.二尖瓣反流收缩期变化对无创影像学检查结果不相符的影响。
JACC Cardiovasc Imaging. 2019 Dec;12(12):2431-2442. doi: 10.1016/j.jcmg.2019.02.014. Epub 2019 Apr 17.