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二尖瓣狭窄合并反流时的二尖瓣瓣口面积

Mitral valve area in combined mitral stenosis and regurgitation.

作者信息

Askenazi J, Carlson C J, Alpert J S, Dexter L

出版信息

Circulation. 1976 Sep;54(3):480-3. doi: 10.1161/01.cir.54.3.480.

DOI:10.1161/01.cir.54.3.480
PMID:947579
Abstract

Eight patients with mixed mitral stenosis and regurgitation underwent hemodynamic and angiographic study prior to mitral valve replacement. The stenotic orifice of the mitral valve was calculated employing the total left ventricular stroke volume by cineangiography as the numerator of the Gorlin Formula. Excellent agreement with the measured orifice of the mitral valve was obtained using a value of 37.9 (0.85 X 44.5) for the constant in the Gorlin formula as recommended by Cohen and Gorlin. Recalculation of this constant independently by our data yielded a value that was almost identical. Regurgitant flows and orifice sizes were calculated for each patient using the same constant as for calculation of the stenotic orifices.

摘要

八名患有二尖瓣狭窄并反流的患者在进行二尖瓣置换术前接受了血流动力学和血管造影研究。二尖瓣狭窄口采用电影血管造影术测得的左心室总搏出量作为戈林公式的分子来计算。按照科恩和戈林的建议,在戈林公式中使用37.9(0.85×44.5)作为常数,与二尖瓣测量口取得了极佳的一致性。根据我们的数据独立重新计算该常数,得出的值几乎相同。使用与计算狭窄口相同的常数,为每位患者计算反流流量和瓣口大小。

相似文献

1
Mitral valve area in combined mitral stenosis and regurgitation.二尖瓣狭窄合并反流时的二尖瓣瓣口面积
Circulation. 1976 Sep;54(3):480-3. doi: 10.1161/01.cir.54.3.480.
2
Comparison of hemodynamic pressure half-time method and Gorlin formula with Doppler and echocardiographic determinations of mitral valve area in patients with combined mitral stenosis and regurgitation.在二尖瓣狭窄合并反流患者中,应用血流动力学压力半衰期法和戈林公式与多普勒及超声心动图测定二尖瓣面积的比较。
Am Heart J. 1990 Jan;119(1):121-9. doi: 10.1016/s0002-8703(05)80091-2.
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Clin Cardiol. 1982 Sep;5(9):476-81. doi: 10.1002/clc.4960050903.
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[Application of the indirect Gorlin formula for assessment of the area of stenotic mitral orifices (author's transl)].间接戈林公式在评估二尖瓣狭窄口面积中的应用(作者译)
Cas Lek Cesk. 1980 Jun 13;119(23-24):660-4.
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Does chronic mitral regurgitation influence Doppler pressure half-time-derived calculation of the mitral valve area in patients with mitral stenosis?慢性二尖瓣反流对二尖瓣狭窄患者基于多普勒压力减半时间得出的二尖瓣面积计算有影响吗?
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Dynamics of mitral regurgitant flow and orifice area. Physiologic application of the proximal flow convergence method: clinical data and experimental testing.二尖瓣反流血流动力学与瓣口面积。近端血流会聚法的生理学应用:临床数据与实验测试
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引用本文的文献

1
A comparison of the assessment of mitral valve area by continuous wave Doppler and by cross sectional echocardiography.连续波多普勒与横截面超声心动图评估二尖瓣面积的比较。
Br Heart J. 1987 Apr;57(4):348-55. doi: 10.1136/hrt.57.4.348.