第一个三尖瓣返流:临床意义。

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X19666221206115642
Sofia Teixeira, Luís Guedes-Martins
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引用次数: 0

摘要

三尖瓣反流是一种心脏瓣膜异常,包括在收缩期由于瓣膜闭合不完全而导致血液回流到右心房。在大多数情况下,这种结构可以在妊娠11至14周的超声波上观察到。尽管这是一个常见的发现,即使在健康胎儿中,三尖瓣反流的存在也可能与染色体和结构异常有关。妊娠早期超声对三尖瓣血流和是否存在反流的评估显示,其在早期发现非整倍体、先天性心脏缺陷和其他不良围产期结局方面的作用具有良好的效果。这篇综述文章旨在证明三尖瓣反流作为次要标志物的重要性,因此,将其添加到妊娠早期联合筛查中时,早期检测的显著益处。将单独讨论其价值,即其敏感性和特异性,以及与其他当前标记物一起在妊娠早期超声中进行的胎儿评估中的价值。
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First Trimester Tricuspid Regurgitation: Clinical Significance.

Tricuspid regurgitation is a cardiac valvular anomaly that consists of the return of blood to the right atrium during systole due to incomplete valve closure. This structure can be visualized on ultrasound between 11 and 14 weeks of gestation in most cases. Despite being a common finding, even in healthy fetuses, the presence of tricuspid regurgitation may be associated with chromosomal and structural abnormalities. The evaluation of tricuspid flow and the presence of regurgitation on first-trimester ultrasound has shown promising results regarding its role in the early detection of aneuploidies, congenital heart defects, and other adverse perinatal outcomes. This review article aims to demonstrate the importance of tricuspid regurgitation as a secondary marker, and consequently, significant benefits of its early detection when added to the combined first-trimester screening. Its value will be discussed, namely its sensitivity and specificity, alone and together with other current markers in the fetal assessment performed in the first-trimester ultrasound.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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