急性リウマチ熱およびリウマチ性心炎の患者のエコーカルディオグラフィの評価
R S Vasan1, S Shrivastava, M Vijayakumar
1Department of Cardiology, the All India Institute of Medical Sciences, New Delhi, India.
Circulation
|July 1, 1996
まとめ
エコーカルディオグラフィは,ほとんどのリウマチ性心炎の症例において,しばしば心室の変化に関連した,ミトラル吐を明らかにします. 心炎の症状のないリウマチ熱の診断には有用ではありません.
科学分野:
- 心臓病学 心臓病学
- レウマトロジーの病理学
- メディカルイマージング (医学イメージング)
背景:
- 心臓の関与は,急性リウマチ熱の重要な側面です.
- リウマチ性心臓炎におけるエコーカルディオグラフィーの診断上の価値は,さらに定義する必要があります.
研究 の 目的:
- リウマチ性心臓炎における形態学的異常をエコーカルディオグラフィを用いて記述する.
- リウマチ性心臓炎におけるエコーカルディオグラフィの診断的役割を評価する.
主な方法:
- エコカルディオグラフィとカラードップラー画像は,急性リウマチ熱の108人の患者に実施されました.
- 患者は3つのグループに分けられた:心臓炎がない,心臓炎の最初のエピソード,再発性心臓炎.
主要な成果:
- リウマチ性心炎の患者 (84~94%),しばしば心室の膨張や小葉の移動の制限と関連した,ミトラル吐が主たる発見でした.
- リウマチ性頭を潜在的に表す焦点弁結節は,心臓炎患者の25%で観察されました.
- 閉塞性心不全は,有意な弁の病変を有する患者にのみ見られた.
結論:
- エコーカルディオグラフィは,心室と小葉の異常に関連した,関節弁の関わりと関節弁の吐をリウマチ性心炎の重要な特徴として強調しています.
- エコーカルディオグラフィは,臨床的な心臓炎なしでのリウマチ熱の診断に有益ではありません.
- 弁の結節は,リウマチ性心炎のエコーカルディオグラフィックマーカーである可能性があります.
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