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米力农在经典低流量、低梯度主动脉瓣狭窄评估中的新应用

Novel Application of Milrinone in the Evaluation of Classical Low-Flow, Low-Gradient Aortic Stenosis.

作者信息

Kaul Arunima, Yirerong Juliet, Sharma Chinmaya, Campbell Hope, Sharma Gyanendra

机构信息

Medical College of Georgia, Augusta University, Augusta, Georgia.

出版信息

CASE (Phila). 2022 Jan 4;6(3):124-127. doi: 10.1016/j.case.2021.12.003. eCollection 2022 May.

DOI:10.1016/j.case.2021.12.003
PMID:35602980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9120854/
Abstract

• Classical LFLG AS should be classified as either true-severe or pseudosevere AS. • DSE is the recognized imaging modality for making this distinction. • Milrinone at steady state may be considered in classical LFLG AS evaluation.

摘要

• 经典的低流量低梯度主动脉瓣狭窄（LFLG AS）应归类为真性重度或假性重度主动脉瓣狭窄。

• 药物负荷超声心动图（DSE）是用于进行这种区分的公认成像方式。

• 在经典LFLG AS评估中可考虑使用稳态米力农。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/b854c012a321/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/71af83b8a3f0/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/ecdf5a5e7dc0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/71c7c7c3bfd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/b854c012a321/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/71af83b8a3f0/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/ecdf5a5e7dc0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/71c7c7c3bfd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d296/9120854/b854c012a321/gr3.jpg

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本文引用的文献

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Differentiating Pseudo Versus True Aortic Stenosis in Patients Without Contractile Reserve: A Diagnostic Dilemma.在没有收缩储备的患者中鉴别假性与真性主动脉瓣狭窄：一个诊断难题。
Cureus. 2021 Mar 24;13(3):e14086. doi: 10.7759/cureus.14086.
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2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020美国心脏病学会/美国心脏协会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Am Coll Cardiol. 2021 Feb 2;77(4):e25-e197. doi: 10.1016/j.jacc.2020.11.018. Epub 2020 Dec 17.
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Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis: A Focused Update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography.
主动脉瓣狭窄的超声心动图评估建议：欧洲心血管影像学会和美国超声心动图学会的重点更新
J Am Soc Echocardiogr. 2017 Apr;30(4):372-392. doi: 10.1016/j.echo.2017.02.009.
4
Low-gradient aortic stenosis.低梯度主动脉瓣狭窄
Eur Heart J. 2016 Sep 7;37(34):2645-57. doi: 10.1093/eurheartj/ehw096. Epub 2016 Mar 31.
5
Low-flow, low-gradient aortic stenosis with normal and depressed left ventricular ejection fraction.低流量、低梯度主动脉瓣狭窄伴正常和降低的左心室射血分数。
J Am Coll Cardiol. 2012 Nov 6;60(19):1845-53. doi: 10.1016/j.jacc.2012.06.051. Epub 2012 Oct 10.
6
Inotropes and vasopressors: review of physiology and clinical use in cardiovascular disease.正性肌力药和血管升压药：心血管疾病中的生理学及临床应用综述
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