概括
左心房瘤瘤会根据心脏的运动不同地影响心脏血液动力学. 在侵袭性手术前,回声心脏图学对于区分非发性肌瘤与 mitrale 狭窄症至关重要.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 左心房肌瘤是一种心脏瘤,可以引起显著的血液动力学变化.
- 区分神经瘤与其他疾病,如额头骨狭窄症,对于适当的患者管理至关重要.
研究的目的:
- 根据瘤的移动性,研究左心房肌瘤的血液动力学影响.
- 评估心声回声学在诊断和治疗左心房瘤中的作用.
主要方法:
- 血液动力学评估五名患有左心房肌瘤的患者.
- 对心血管图和心声图的分析.
- 血动力学模式的比较,在前进的 (I型) 和非前进的 (II型) 肌瘤之间.
主要成果:
- 脱落性肌瘤 (I型) 呈现出明显的血液动力学模式,具有突出的c和v波和快速的y下降.
- 非发性肌瘤 (II型) 阻碍了 mitra 门的流动,显示缓慢的下降模仿 mitra 狭窄.
- 在心脏导管注射之前,回声心脏学特别有价值,用于识别非发泄性肌瘤.
结论:
- 瘤的移动性显著影响了瘤患者的左心房血动力学.
- 声心成像对于区分非脱落性肌瘤与 mitrale 狭窄症至关重要,指导预导管评估.
- 怀疑myxoma时应避免穿越心脏导管;肺血管造影建议使用levophase用于左心房可视化.
相关概念视频
Anatomy of the Heart
The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
Blood Flow
Blood is pumped by the heart into the aorta, the largest artery in the body, and then into increasingly smaller arteries, arterioles, and capillaries. The velocity of blood flow decreases with increased cross-sectional blood vessel area. As blood returns to the heart through venules and veins, its velocity increases. The movement of blood is encouraged by smooth muscle in the vessel walls, the movement of skeletal muscle surrounding the vessels, and one-way valves that prevent backflow.
Specialized Characteristics of Cardiac Muscles
The primary role of cardiac muscles is to propel blood throughout the cardiovascular system. The cardiac muscle cells, or cardiomyocytes, exhibit specialized characteristics that allow them to perform this function.
Cardiac muscle cells are smaller than skeletal muscles, averaging 10–20 mm in diameter and 50–100 mm in length. However, they have large energy demands for continuous contraction and relaxation. This energy is almost exclusively derived from aerobic metabolism of energy reserves in...
Cardiac muscle cells are smaller than skeletal muscles, averaging 10–20 mm in diameter and 50–100 mm in length. However, they have large energy demands for continuous contraction and relaxation. This energy is almost exclusively derived from aerobic metabolism of energy reserves in...
Pathophysiology of Cardiac Performance
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
Heart Valves
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...


