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中医药治疗风湿性心脏瓣膜病:一例报告

Rheumatic valvular heart disease treated with traditional Chinese medicine: A case report.

作者信息

Chen Wei-Hang, Tan Yan, Wang Ya-Lei, Wang Xu, Liu Zhao-Heng

机构信息

School of Life Sciences, Beijing University of Chinese Medicine, Beijing 102488, China.

School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China.

出版信息

World J Clin Cases. 2023 Mar 6;11(7):1600-1606. doi: 10.12998/wjcc.v11.i7.1600.

Abstract

BACKGROUND

Rheumatic heart disease (RHD) is an autoimmune disease that leads to irreversible valve damage and heart failure. Surgery is an effective treatment; however, it is invasive and carries risks, restricting its broad application. Therefore, it is essential to find alternative nonsurgical treatments for RHD.

CASE SUMMARY

A 57-year-old woman was assessed with cardiac color Doppler ultrasound, left heart function tests, and tissue Doppler imaging evaluation at Zhongshan Hospital of Fudan University. The results showed mild mitral valve stenosis with mild to moderate mitral and aortic regurgitation, confirming a diagnosis of rheumatic valve disease. After her symptoms became severe, with frequent ventricular tachycardia and supraventricular tachycardia > 200 beats per minute, her physicians recommended surgery. During a 10-day preoperative waiting period, the patient asked to be treated with traditional Chinese medicine. After 1 week of this treatment, her symptoms improved significantly, including resolution of the ventricular tachycardia, and the surgery was postponed pending further follow-up. At 3 -month follow-up, color Doppler ultrasound showed mild mitral valve stenosis with mild mitral and aortic regurgitation. Therefore, it was determined that no surgical treatment was required.

CONCLUSION

Traditional Chinese medicine treatment effectively relieves symptoms of RHD, particularly mitral valve stenosis and mitral and aortic regurgitation.

摘要

背景

风湿性心脏病(RHD)是一种自身免疫性疾病,可导致不可逆的瓣膜损害和心力衰竭。手术是一种有效的治疗方法;然而,它具有侵入性且存在风险,限制了其广泛应用。因此,寻找RHD的替代性非手术治疗方法至关重要。

病例摘要

一名57岁女性在复旦大学附属中山医院接受了心脏彩色多普勒超声、左心功能测试和组织多普勒成像评估。结果显示轻度二尖瓣狭窄伴轻度至中度二尖瓣和主动脉瓣反流,确诊为风湿性瓣膜病。在其症状加重,频繁出现室性心动过速和每分钟超过200次的室上性心动过速后,她的医生建议进行手术。在术前10天的等待期内,患者要求接受中医治疗。经过1周的这种治疗,她的症状明显改善,包括室性心动过速消失,手术被推迟以便进一步随访。在3个月的随访中,彩色多普勒超声显示轻度二尖瓣狭窄伴轻度二尖瓣和主动脉瓣反流。因此,确定无需进行手术治疗。

结论

中医治疗可有效缓解RHD的症状,尤其是二尖瓣狭窄以及二尖瓣和主动脉瓣反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e1a/10011998/6673dc292f42/WJCC-11-1600-g001.jpg

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