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急性右心衰竭:病理生理学、诊断方法,重点介绍超声心动图的作用。

Acute Right Ventricular Failure: Pathophysiology, Diagnostic Approach with Emphasis on the Role of Echocardiography.

机构信息

Larner College of Medicine's UVM Medical Centre, University of Vermont, Burlington, Vermont, USA.

Cardiology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

出版信息

Curr Cardiol Rev. 2023;19(4):e060223213452. doi: 10.2174/1573403X19666230206115611.

Abstract

Right ventricular function is one of the important predictors of survival in heart failure patients. In the past, there has been only limited knowledge regarding right-sided heart failure when compared to left-sided failure. However, there are more emerging data in recent years, and several studies have emphasized the unique features of the right ventricle regarding its anatomy, pathophysiology, clinical consequences, diagnostic modalities, and treatment options. Despite that, management of acute right ventricular failure is still challenging. This article summarizes an overview of acute right heart failure including pathophysiology, causes, clinical features, and diagnostic work-up with emphasis on the role of echocardiography.

摘要

右心室功能是心力衰竭患者生存的重要预测指标之一。过去,与左心衰竭相比,人们对右心衰竭的了解非常有限。然而,近年来出现了更多的新数据,一些研究强调了右心室在解剖学、病理生理学、临床后果、诊断方法和治疗选择方面的独特特征。尽管如此,急性右心衰竭的治疗仍然具有挑战性。本文总结了急性右心衰竭的概述,包括病理生理学、病因、临床特征和诊断检查,重点介绍了超声心动图的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eddf/10494269/eeb386fa8b01/CCR-19-E060223213452_F1.jpg

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