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“留意你的足弓”——妊娠期系统性高血压的一个不寻常病因

"Mind Your Arch"-An Unusual Cause of Systemic Hypertension in Pregnancy.

作者信息

Atherton Mara, Levitan Bryana, Ramachandran Preeti

机构信息

College of Medicine, University of Kentucky, Lexington, Kentucky.

Gill Heart Institute, University of Kentucky, Lexington, Kentucky.

出版信息

CASE (Phila). 2024 Mar 8;8(3Part A):210-214. doi: 10.1016/j.case.2023.12.016. eCollection 2024 Mar.

DOI:10.1016/j.case.2023.12.016
PMID:38524972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10954578/
Abstract

• CoA must be considered in a young patient with severe uncontrolled hypertension. • Presentation may be delayed due to extensive collateral circulation. • Multimodality imaging is often necessary for preprocedural planning. • Despite treatment there is continued risk for long-term vascular disease.

摘要

• 对于患有严重难治性高血压的年轻患者，必须考虑诊断为主动脉缩窄（CoA）。

• 由于广泛的侧支循环，症状可能会延迟出现。

• 多模态成像对于术前规划通常是必要的。

• 尽管进行了治疗，但长期血管疾病的风险仍然存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/4964acbfecb2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/d7449b1c4734/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/8f9da3e2eca5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/aa20be0aa648/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/2dd7057a5044/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/ecad0402013a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/cb1de98a3dd4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/4964acbfecb2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/d7449b1c4734/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/8f9da3e2eca5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/aa20be0aa648/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/2dd7057a5044/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/ecad0402013a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/cb1de98a3dd4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/10954578/4964acbfecb2/gr6.jpg

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本文引用的文献

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Diagnosis of covert coarctation of the aorta in adolescents.青少年隐匿性主动脉缩窄的诊断
Front Pediatr. 2023 Mar 21;11:1101607. doi: 10.3389/fped.2023.1101607. eCollection 2023.
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Hypertensive disorders of pregnant women with heart disease: the ESC EORP ROPAC Registry.患有心脏病的孕妇的高血压疾病：ESC EORP ROPAC 注册研究。
Eur Heart J. 2022 Oct 11;43(38):3749-3761. doi: 10.1093/eurheartj/ehac308.
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Chronic hypertension and superimposed preeclampsia: screening and diagnosis.慢性高血压与子痫前期重叠：筛查与诊断。
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2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南：执行摘要：美国心脏病学会/美国心脏协会临床实践指南工作组报告
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Treatment Strategies for Paradoxical Hypertension Following Surgical Correction of Coarctation of the Aorta in Children.儿童主动脉缩窄手术矫正后反常性高血压的治疗策略
World J Pediatr Congenit Heart Surg. 2017 May;8(3):321-331. doi: 10.1177/2150135117690104.
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Coarctation of the aorta in adolescents and adults: A review of clinical features and CT imaging.青少年及成人主动脉缩窄：临床特征与CT影像综述
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Coarctation of the aorta.
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