Abedin Z, Bidwai P S, Khattri H N
Jpn Heart J. 1977 Nov;18(6):765-76. doi: 10.1536/ihj.18.765.
Fifty-one patients with dominant rheumatic mitral stenosis were studied by clinical, electrocardiographic, and radiological criteria for evaluation of pulmonary hypertension. Predicted pulmonary artery pressure from these criteria were then compared with the pulmonary artery pressure measured during cardiac catheterization. In the first 31 patients, the assessment of pulmonary hypertension using combined clinical, electrocardiographic, and radiological methods gave better results than any one single method alone. On the basis of these observations, a composite criterion was arrived at. This new criterion was then prospectively applied to the next 20 consecutive patients with dominant mitral stenosis. In 14 of the 20 patients, the predicted pulmonary artery mean pressures were in the same range as the measured mean pulmonary artery pressures when the new composite criterion was used.
对51例主要为风湿性二尖瓣狭窄患者，采用临床、心电图和放射学标准评估肺动脉高压。然后将根据这些标准预测的肺动脉压力与心导管检查时测得的肺动脉压力进行比较。在前31例患者中，联合使用临床、心电图和放射学方法评估肺动脉高压，比单独使用任何一种方法都能得出更好的结果。基于这些观察结果，得出了一个综合标准。然后将这一新标准前瞻性地应用于接下来连续20例主要为二尖瓣狭窄的患者。在这20例患者中的14例中，当使用新的综合标准时，预测的肺动脉平均压力与测得的肺动脉平均压力处于同一范围。
