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主动脉瓣狭窄患者脑室内梯度的管理。

Management of Intraventricular Gradient in Patients With Aortic Stenosis.

作者信息

Angellotti Domenico, Losi Maria Angela, Immobile Molaro Maddalena, Ilardi Federica, Manzo Rachele, Nappa Dalila, Canciello Grazia, Borrelli Felice, Simonetti Fiorenzo, Cirillo Plinio, Spaccarotella Carmen Anna Maria, Piccolo Raffaele, Franzone Anna, Esposito Giovanni

机构信息

Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.

出版信息

JACC Case Rep. 2024 Nov 6;29(21):102696. doi: 10.1016/j.jaccas.2024.102696.

DOI:10.1016/j.jaccas.2024.102696
PMID:39619041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602602/
Abstract

In patients with severe left ventricle hypertrophy and aortic stenosis, the presence of intraventricular gradient should always be investigated. Its prompt recognition enables a precise diagnosis and safe treatment of both conditions. We report 2 cases demonstrating a successful and novel approach to this clinical situation.

摘要

在严重左心室肥厚和主动脉瓣狭窄患者中，应始终对室内压差的存在进行调查。对其迅速识别有助于对这两种情况进行精确诊断和安全治疗。我们报告2例展示了针对这种临床情况的成功且新颖方法的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/c6e989b53b29/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/c8aaf2b4a5f1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/375cbeb91277/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/c6e989b53b29/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/c8aaf2b4a5f1/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/375cbeb91277/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3213/11602602/c6e989b53b29/gr2.jpg

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本文引用的文献

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Overcoming the Obstacle of Suicide Left Ventricle After Transcatheter Aortic Valve Replacement Phenomenon.经导管主动脉瓣置换术后克服自杀性左心室现象的障碍
JACC Case Rep. 2023 Oct 12;26:102065. doi: 10.1016/j.jaccas.2023.102065. eCollection 2023 Nov 15.
2
2023 ESC Guidelines for the management of cardiomyopathies.2023年欧洲心脏病学会心肌病管理指南。
Eur Heart J. 2023 Oct 1;44(37):3503-3626. doi: 10.1093/eurheartj/ehad194.
3
Apical Aneurysms and Mid-Left Ventricular Obstruction in Hypertrophic Cardiomyopathy.肥厚型心肌病中的心尖动脉瘤和左心室中部梗阻。
JACC Cardiovasc Imaging. 2023 May;16(5):591-605. doi: 10.1016/j.jcmg.2022.11.013. Epub 2023 Jan 11.
4
Effects of Metoprolol on Exercise Hemodynamics in Patients With Obstructive Hypertrophic Cardiomyopathy.美托洛尔对梗阻性肥厚型心肌病患者运动血液动力学的影响。
J Am Coll Cardiol. 2022 Apr 26;79(16):1565-1575. doi: 10.1016/j.jacc.2022.02.024.
5
Left ventricular cavity obliteration: Mechanism of the intracavitary gradient and differentiation from hypertrophic obstructive cardiomyopathy.左心室腔闭塞：腔内梯度的机制及与肥厚型梗阻性心肌病的鉴别
Echocardiography. 2020 Jun;37(6):822-831. doi: 10.1111/echo.14710. Epub 2020 May 22.