缩窄性心包炎和房间隔缺损缺乏 "心室相互依存"。

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Pediatric Cardiology Pub Date : 2023-09-01 Epub Date: 2024-04-01 DOI:10.4103/apc.apc_148_23
Maulik Kalyani, Bhavik Champaneri, Shyam S Kothari
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引用次数: 0

摘要

心室相互依存,即左右心室压力随呼吸而相互变化,是缩窄性心包炎(CP)血液动力学诊断的标志。同样,超声心动图上二尖瓣和三尖瓣多普勒血流速度的呼吸变化也非常有助于 CP 的诊断。根据我们的记录,一名患有心绞痛并伴有房间隔缺损的患者没有出现这种变化。必须注意这一直观明显的事实,否则可能会漏诊 CP。
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Lack of "ventricular interdependence" in constrictive pericarditis and atrial septal defect.

Ventricular interdependence, i.e., reciprocal variations in the left and right ventricle pressures with respiration, is a hallmark of the hemodynamic diagnosis of constrictive pericarditis (CP). Similarly, respiratory variations in the mitral and tricuspid valve Doppler inflow velocities on echocardiogram are very helpful in the diagnosis of CP. We document the absence of such variations in a patient with CP and associated atrial septal defect. It is important to be mindful of this intuitively obvious fact; otherwise, the diagnosis of CP might be missed.

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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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