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孕期压力恢复过度：评估人工主动脉瓣狭窄严重程度的多模态方法

Exaggerated Pressure Recovery during Pregnancy: A Multimodal Approach to Assessment of Prosthetic Aortic Stenosis Severity.

作者信息

Connor Brynn, Takei Makoto, Woo Jennifer, Conrad Desireé, Sharma Rahul, Lui George

机构信息

Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California.

Division of Pediatric Cardiology, Stanford University School of Medicine, Stanford, California.

出版信息

CASE (Phila). 2024 Oct 18;8(11):491-495. doi: 10.1016/j.case.2024.09.003. eCollection 2024 Nov.

DOI:10.1016/j.case.2024.09.003
PMID:39619798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604475/
Abstract

• Pressure recovery can result in falsely elevated AV gradients by Doppler echo. • Pressure recovery is more pronounced following prosthetic aortic graft replacement. • Doppler gradients disproportionate to symptoms warrant catheter-based assessment.

摘要

• 压力恢复可导致多普勒超声心动图测得的主动脉瓣压差假性升高。

• 人工主动脉移植置换术后压力恢复更为显著。

• 与症状不相称的多普勒压差需要进行心导管检查评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/37f200511b20/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/3cb5953eaa94/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/9d2055ff53d6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/bd96c8e8790e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/37f200511b20/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/3cb5953eaa94/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/9d2055ff53d6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/bd96c8e8790e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa6/11604475/37f200511b20/gr3.jpg

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本文引用的文献

1
Catheter-Based Interventions for the Management of Valvular Heart Disease During Pregnancy.基于导管的干预措施在妊娠期心脏瓣膜病管理中的应用
JACC Adv. 2022 Apr 27;1(2):100022. doi: 10.1016/j.jacadv.2022.100022. eCollection 2022 Jun.
2
Timing of cardiac surgery during pregnancy: a patient-level meta-analysis.妊娠期心脏手术时机：一项基于患者的荟萃分析。
Eur Heart J. 2022 Aug 1;43(29):2801-2811. doi: 10.1093/eurheartj/ehac234.
3
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
2020 ACC/AHA 瓣膜性心脏病患者管理指南：执行摘要：美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。
Circulation. 2021 Feb 2;143(5):e35-e71. doi: 10.1161/CIR.0000000000000932. Epub 2020 Dec 17.
4
Prosthetic aortic graft replacement of the ascending thoracic aorta alters biomechanics of the native descending aorta as assessed by transthoracic echocardiography.经胸超声心动图评估，升主动脉人工血管置换术改变了降主动脉的生物力学特性。
PLoS One. 2020 Mar 12;15(3):e0230208. doi: 10.1371/journal.pone.0230208. eCollection 2020.
5
Pregnancy outcomes in women with cardiovascular disease: evolving trends over 10 years in the ESC Registry Of Pregnancy And Cardiac disease (ROPAC).患有心血管疾病的女性的妊娠结局：ESC 妊娠与心血管疾病注册研究（ROPAC）10 年来的变化趋势。
Eur Heart J. 2019 Dec 14;40(47):3848-3855. doi: 10.1093/eurheartj/ehz136.
6
Echocardiographic Evaluation of Hemodynamic Changes in Left-Sided Heart Valves in Pregnant Women With Valvular Heart Disease.超声心动图评估患有瓣膜性心脏病的孕妇左侧心脏瓣膜血流动力学变化
Am J Cardiol. 2016 Oct 1;118(7):1046-52. doi: 10.1016/j.amjcard.2016.07.005. Epub 2016 Jul 18.
7
Accurate assessment of aortic stenosis: a review of diagnostic modalities and hemodynamics.主动脉瓣狭窄的准确评估：诊断方法与血流动力学综述
Circulation. 2014 Jan 14;129(2):244-53. doi: 10.1161/CIRCULATIONAHA.113.002310.
8
Does pregnancy influence the durability of human aortic valve substitutes?怀孕会影响人工主动脉瓣膜的耐用性吗？
J Am Coll Cardiol. 2012 Nov 6;60(19):1991-2. doi: 10.1016/j.jacc.2012.06.055. Epub 2012 Oct 10.
9
Impact of pressure recovery on echocardiographic assessment of asymptomatic aortic stenosis: a SEAS substudy.压力恢复对无症状主动脉瓣狭窄超声心动图评估的影响：SEAS 子研究。
JACC Cardiovasc Imaging. 2010 Jun;3(6):555-62. doi: 10.1016/j.jcmg.2009.11.019.
10
Pregnancy: maternal and fetal heart disease.妊娠：母体和胎儿心脏病
Curr Probl Cardiol. 2007 Aug;32(8):419-94. doi: 10.1016/j.cpcardiol.2007.04.004.