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心脏瓣膜病中的运动性肺动脉高压

Exercise Pulmonary Hypertension in Heart Valve Disease.

作者信息

Schiavo Alessandra, Bellino Michele, Moreo Antonella, Casadei Francesca, Carbone Andreina, Rega Salvatore, Citro Rodolfo, Sangiuolo Raffaele, Cittadini Antonio, Bossone Eduardo, Marra Alberto M

机构信息

Cardiology and Intensive Coronary Care Unit, Fatebenefratelli Hospital, 80123 Naples, Italy.

Cardio-Thoracic and Vascular Department, University Hospital "San Giovanni di Dio e Ruggid'Aragona", 84131 Salerno, Italy.

出版信息

Rev Cardiovasc Med. 2024 Apr 2;25(4):131. doi: 10.31083/j.rcm2504131. eCollection 2024 Apr.

DOI:10.31083/j.rcm2504131
PMID:39076551
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11264010/
Abstract

The optimal management of heart valve disease (HVD) is still debated and many studies are underway to identify the best time to refer patients for the most appropriate treatment strategy (either conservative, surgical or transcatheter interventions). Exercise pulmonary hypertension (PH) can be detected during exercise stress echocardiography (ESE) and has been demonstrated to have an important prognostic role in HVD, by predicting symptoms and mortality. This review article aims to provide an overview on the prognostic role of exercise PH in valvulopathies, and its possible role in the diagnostic-therapeutic algorithm for the management of HVD.

摘要

心脏瓣膜病（HVD）的最佳管理仍存在争议，目前正在进行许多研究，以确定将患者转诊至最合适治疗策略（保守治疗、手术治疗或经导管介入治疗）的最佳时机。运动性肺动脉高压（PH）可在运动负荷超声心动图（ESE）检查期间被检测到，并且已被证明在HVD中具有重要的预后作用，可预测症状和死亡率。这篇综述文章旨在概述运动性PH在瓣膜病中的预后作用，及其在HVD管理的诊断-治疗算法中可能发挥的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/1733371b47b8/2153-8174-25-4-131-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/6748c23c67da/2153-8174-25-4-131-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/34fb8192ac94/2153-8174-25-4-131-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/851acc542340/2153-8174-25-4-131-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/9fd85796aee6/2153-8174-25-4-131-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/0261a0778724/2153-8174-25-4-131-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/1733371b47b8/2153-8174-25-4-131-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/6748c23c67da/2153-8174-25-4-131-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/34fb8192ac94/2153-8174-25-4-131-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/851acc542340/2153-8174-25-4-131-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/9fd85796aee6/2153-8174-25-4-131-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/0261a0778724/2153-8174-25-4-131-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c58/11264010/1733371b47b8/2153-8174-25-4-131-g6.jpg

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本文引用的文献

1
Exercise Stress Echocardiography of the Right Ventricle and Pulmonary Circulation.右心室和肺循环运动负荷超声心动图。
J Am Coll Cardiol. 2023 Nov 21;82(21):1973-1985. doi: 10.1016/j.jacc.2023.09.807.
2
Prevalence, mechanisms, and prognostic impact of dynamic mitral regurgitation assessed by isometric handgrip exercise.等长握力运动评估的动态二尖瓣反流的患病率、机制和预后影响。
Eur Heart J Cardiovasc Imaging. 2024 Jan 29;25(2):240-248. doi: 10.1093/ehjci/jead230.
3
Exercise Stress Echocardiography in Asymptomatic Patients With Severe Primary Mitral Regurgitation: Time to Stepping Out Our Comfort Zone.
无症状重度原发性二尖瓣反流患者的运动负荷超声心动图检查：是时候走出我们的舒适区了。
Am J Cardiol. 2023 Aug 15;201:369-371. doi: 10.1016/j.amjcard.2023.06.041. Epub 2023 Jul 1.
4
Clinical and Prognostic Implications of Cardiopulmonary Exercise Stress Echocardiography in Asymptomatic Degenerative Mitral Regurgitation.无症状退行性二尖瓣反流患者行心肺运动应激超声心动图的临床及预后意义。
Am J Cardiol. 2023 Aug 15;201:8-15. doi: 10.1016/j.amjcard.2023.05.039. Epub 2023 Jun 20.
5
Prevalence of pulmonary hypertension in mitral regurgitation and its influence on outcomes.二尖瓣反流中肺动脉高压的患病率及其对预后的影响。
Open Heart. 2023 Jun;10(1). doi: 10.1136/openhrt-2023-002268.
6
ABCDEG Stress Echocardiography in Aortic Stenosis.主动脉瓣狭窄的ABCDEG负荷超声心动图
Diagnostics (Basel). 2023 May 12;13(10):1727. doi: 10.3390/diagnostics13101727.
7
Prevalence of pulmonary hypertension in aortic regurgitation and its influence on outcomes.主动脉瓣反流患者肺动脉高压的患病率及其对预后的影响。
Heart. 2023 Aug 11;109(17):1310-1318. doi: 10.1136/heartjnl-2022-322187.
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Prevalence of pulmonary hypertension in aortic stenosis and its influence on outcomes.主动脉瓣狭窄患者肺动脉高压的患病率及其对预后的影响。
Heart. 2023 Aug 11;109(17):1319-1326. doi: 10.1136/heartjnl-2022-322184.
9
Impact of Periprocedural Pulmonary Hypertension on Outcomes After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后肺动脉高压对预后的影响。
J Am Coll Cardiol. 2022 Oct 25;80(17):1601-1613. doi: 10.1016/j.jacc.2022.08.757.
10
The Role of Stress Echocardiography in Valvular Heart Disease.应激超声心动图在瓣膜性心脏病中的作用。
Curr Cardiol Rep. 2022 Oct;24(10):1477-1485. doi: 10.1007/s11886-022-01765-7. Epub 2022 Aug 30.