ミトラル回症 (mitral regurgitation) とは,ミトラル回症 (mitral regurgitation) とは,ミトラル回症 (mitral regurgitation) とは,ミトラル回症 (mitral
Maurice Enriquez-Sarano1, Cary W Akins, Alec Vahanian
1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Lancet (London, England)
|April 10, 2009
まとめ
常見の心臓病であるミトラル吐は,静かに進行し,重篤な結果につながる可能性があります. 早期発見と手術による修復,特に無症状の患者では,生存率と結果を大幅に改善します.
科学分野:
- 心臓病学 心臓病学
- 心臓外科手術について
- エコーカルディオグラフィー エコーカルディオグラフィー
背景:
- ミトラル排泄症は,米国で200万人以上の患者に罹患しています.
- 原因には,退行性,缺血性,およびリウマチックな起源が含まれます.
- この状態は陰謀的に進行し,心臓機能不全を引き起こし,重症の場合,悪い結果をもたらします.
研究 の 目的:
- ミトラル反吐の早期発見と評価の重要性を強調する.
- ミトラル反発の原因,進行,治療結果に関する現在の理解をレビューする.
主な方法:
- ドップラーエコーカルディオグラフィは,ミトラル逆流症の重症度を定量化するために使用されます.
- 中度重度の重度重度のミトラル吐症の医療治療による死亡率の分析.
- バルブ修復とバルブ置換手術のアウトカムの比較.
主要な成果:
- 50歳以上の患者に対する医療治療は,年間~3% (中等) ~6% (重症) の死亡率を示しています.
- 手術介入は,症状を緩和し,心不全を予防する唯一の実証済みの方法です.
- バルブ修復は,置換よりも優れた結果をもたらし,重篤な症例では死亡率を約70%削減します.
結論:
- 早期発見と評価は,ミトラル反発の管理に不可欠です.
- 専門のセンターでの手術によるバルブ修復は,短期的および長期的に最良の結果をもたらします.
- 低死亡率 (<1%) と高い修復率 (80-90%) を有するセンターで治療を受けている無症状の患者は,最適な結果を体験します.
さらに関連する動画
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