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严重三尖瓣反流导致多普勒低估二尖瓣狭窄的严重程度。

Severe Tricuspid Regurgitation Leads to Underestimation of the Severity of Mitral Stenosis by Doppler.

作者信息

Panidapu Nagarjuna, Sen Barsha, Poduval Devika, Micka Rohik, Varma Praveen Kerala, Neema Praveen Kumar

机构信息

Department of Cardiac Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, India.

Department of Cardiovascular and Thoracic Surgery, Amrita Institute of Medical Sciences, Kochi, India.

出版信息

CASE (Phila). 2024 Oct 12;8(11):496-499. doi: 10.1016/j.case.2024.08.003. eCollection 2024 Nov.

DOI:10.1016/j.case.2024.08.003
PMID:39619799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604401/
Abstract

• RV volume overload causes septal flattening which leads to reduced transmitral flow. • In severe TR, MVA calculated by Doppler techniques is unreliable. • In MS with concomitant TR, 3D MPR planimetry is reliable for MVA calculation.

摘要

• 右心室容量超负荷导致室间隔扁平,进而导致经二尖瓣血流减少。

• 在严重三尖瓣反流时,用多普勒技术计算的二尖瓣面积不可靠。

• 在合并三尖瓣反流的二尖瓣狭窄中,三维多平面重建测量法计算二尖瓣面积是可靠的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/2436970a1401/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/13e37efb2cc2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/e94c9651fd6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/3f6b935de7db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/2436970a1401/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/13e37efb2cc2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/e94c9651fd6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/3f6b935de7db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c7/11604401/2436970a1401/gr3.jpg

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本文引用的文献

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Implications of tricuspid regurgitation and right ventricular volume overload in patients with heart failure with preserved ejection fraction.射血分数保留的心力衰竭患者中三尖瓣反流和右心室容量超负荷的影响
Eur J Heart Fail. 2024 Apr;26(4):1025-1035. doi: 10.1002/ejhf.3195. Epub 2024 Mar 11.
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Advances in Rheumatic Mitral Stenosis: Echocardiographic, Pathophysiologic, and Hemodynamic Considerations.风湿性二尖瓣狭窄的进展:超声心动图、病理生理学及血流动力学考量
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Pulmonary artery hypertension in mitral stenosis: Role of right ventricular stroke volume, atrio-ventricular compliance, and pulmonary venous compliance.二尖瓣狭窄中的肺动脉高压:右心室每搏输出量、房室顺应性和肺静脉顺应性的作用
J Anaesthesiol Clin Pharmacol. 2012 Apr;28(2):261-2. doi: 10.4103/0970-9185.94916.
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Left atrial systolic and diastolic dysfunction in heart failure with normal left ventricular ejection fraction.左心房收缩和舒张功能障碍在射血分数正常的心力衰竭中。
J Am Soc Echocardiogr. 2011 Jun;24(6):651-62. doi: 10.1016/j.echo.2011.02.004. Epub 2011 Mar 31.