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心脏重症监护病房中的瓣膜性心脏病。

Valvular Heart Disease in the Cardiac Intensive Care Unit.

机构信息

Providence Heart Institute, Providence St. Joseph Health, 9427 Southwest Barnes Road, Portland, OR 97225, USA.

Division of Cardiology, Corrigan Minehan Heart Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

Crit Care Clin. 2024 Jan;40(1):105-120. doi: 10.1016/j.ccc.2023.05.002. Epub 2023 Sep 7.

Abstract

Valvular heart disease pathologies are commonly encountered in the cardiac intensive care unit (CICU). Clinical presentations may range from an acute pathology of the aortic or mitral valve necessitating emergency intervention to a more subtle decompensation of longstanding valvular disease. With growing numbers of transcatheter valvular interventions, CICU providers must recognize and manage common complications after transcatheter aortic, mitral, and tricuspid interventions. In addition, prosthetic valve dysfunction should always be excluded in a CICU patient presenting with an acute cardiopulmonary decompensation. Multidisciplinary valve teams can assist with challenging valvular pathologies to determine candidacy for potential interventions.

摘要

心脏重症监护病房(CICU)中常可遇到瓣膜性心脏病病变。临床表现可从需要紧急干预的主动脉瓣或二尖瓣的急性病变到长期瓣膜病的逐渐失代偿。随着经导管瓣膜介入治疗数量的增加,CICU 医护人员必须识别和处理经导管主动脉瓣、二尖瓣和三尖瓣介入治疗后的常见并发症。此外,在出现急性心肺失代偿的 CICU 患者中,始终应排除人工瓣膜功能障碍。多学科瓣膜团队可以协助处理具有挑战性的瓣膜病变,以确定潜在介入治疗的适应证。

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