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二尖瓣狭窄患者的右心室功能:起着至关重要的作用。

Right ventricular function in mitral stenosis: plays a fundamental role.

机构信息

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah General Hospital, P.B Sudirman Street, Denpasar, Bali, 80234, Indonesia.

Department of Cardiology, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.

出版信息

J Echocardiogr. 2024 Dec;22(4):185-192. doi: 10.1007/s12574-024-00663-x. Epub 2024 Oct 5.

DOI:10.1007/s12574-024-00663-x
PMID:39368011
Abstract

The importance of the right ventricle (RV) was neglected or forgotten for decades. The RV has an essential function in cardiovascular physiology and pathology. The RV dysfunction is one of the causes of morbidity and mortality in valvular heart disease (VHD), especially in mitral stenosis (MS). Right ventricular systolic and diastolic function are important for the determination of clinical symptoms, exercise functional capacity, pre-procedure survival, and post-procedure outcome in patients with MS. Right ventricular dysfunction in MS with a sign of systemic venous congestion is easy to recognize, but MS without clinical evidence of RV dysfunction has not been studied. Detecting RV dysfunction earlier in MS is important in clinical practice.

摘要

右心室(RV)的重要性被忽视或遗忘了几十年。RV 在心血管生理学和病理学中具有重要功能。RV 功能障碍是瓣膜性心脏病(VHD),尤其是二尖瓣狭窄(MS)发病率和死亡率的原因之一。右心室收缩和舒张功能对于确定 MS 患者的临床症状、运动功能能力、术前生存和术后结果非常重要。有全身静脉充血迹象的 MS 中的 RV 功能障碍很容易识别,但没有 RV 功能障碍临床证据的 MS 尚未得到研究。在 MS 中更早地检测到 RV 功能障碍在临床实践中很重要。

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Degenerative Mitral Stenosis Versus Rheumatic Mitral Stenosis.退行性二尖瓣狭窄与风湿性二尖瓣狭窄。
Am J Cardiol. 2020 May 15;125(10):1536-1542. doi: 10.1016/j.amjcard.2020.02.020. Epub 2020 Mar 5.
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Immediate impact of successful percutaneous balloon mitral valvuloplasty on right and left ventricular functions: An echocardiographic study using load independent tissue velocity imaging indices.
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Echocardiography. 2018 Oct;35(10):1525-1532. doi: 10.1111/echo.14093. Epub 2018 Jul 16.
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