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主动脉瓣反流时左心室结构的摆动

Oscillation of left ventricular structures in aortic regurgitation.

作者信息

Johnson A D, Gosink B B

出版信息

J Clin Ultrasound. 1977 Feb;5(1):21-4. doi: 10.1002/jcu.1870050106.

DOI:10.1002/jcu.1870050106
PMID:402390
Abstract

High-frequency diastolic oscillation of the anterior mitral leaflet is a common echocardiographic feature in aortic regurgitation. We have studied a group of 56 patients with aortic regurgitation in whom oscillation of the anterior mitral leaflet was present. Thirty-one of these had similar diastolic oscillation of the posterior leaflet; occasional patients demonstrated oscillation of the interventricular septum or chordae tendineae. The presence of these diastolic oscillations did not correlate with the presence of the Austin-Flint murmur. We conclude that diastolic oscillation of left ventricular structures other than the anterior mitral leaflet can be recorded on echocardiograms of patients with aortic regurgiationmthe mechanism responsible for these oscillations is not known; several possibilities are discussed.

摘要

二尖瓣前叶高频舒张期振荡是主动脉瓣反流常见的超声心动图特征。我们研究了一组56例存在二尖瓣前叶振荡的主动脉瓣反流患者。其中31例后叶有类似的舒张期振荡;偶尔有患者表现出室间隔或腱索振荡。这些舒张期振荡的存在与奥斯汀·弗林特杂音的存在无关。我们得出结论,在主动脉瓣反流患者的超声心动图上可以记录到二尖瓣前叶以外的左心室结构的舒张期振荡;这些振荡的机制尚不清楚;文中讨论了几种可能性。

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1
Oscillation of left ventricular structures in aortic regurgitation.主动脉瓣反流时左心室结构的摆动
J Clin Ultrasound. 1977 Feb;5(1):21-4. doi: 10.1002/jcu.1870050106.
2
Doppler and echocardiographic characteristics of patients having an Austin Flint murmur.患有奥-弗杂音患者的多普勒及超声心动图特征。
Circulation. 1991 Jun;83(6):1940-50. doi: 10.1161/01.cir.83.6.1940.
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Genesis of the Austin Flint murmur: relation to mitral inflow and aortic regurgitant flow dynamics.奥斯汀·弗林特杂音的起源:与二尖瓣血流及主动脉反流血流动力学的关系
J Am Coll Cardiol. 1993 May;21(6):1399-405. doi: 10.1016/0735-1097(93)90316-s.
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Etiology of the Austin Flint murmur.奥-弗杂音的病因。
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J Clin Ultrasound. 2013 Jul-Aug;41(6):392-3. doi: 10.1002/jcu.21948. Epub 2012 Jun 7.
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Sound pressure correlates of the Austin Flint murmur. An intracardiac sound study.奥斯汀·弗林特杂音的声压相关性。一项心内声音研究。
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[Diagnostic value of mitral and septal echocardiographic changes in aortic valve insufficiency].[二尖瓣及室间隔超声心动图改变在主动脉瓣关闭不全中的诊断价值]
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