积极的泡研究,但没有证据表明在患有复发性密码性中风的患者中存在心房间间缺陷
Nika Samadzadeh Tabrizi1, Perry A Stout1, Joseph Cahill2
1Albany Medical College, New York, United States.
Turkish journal of anaesthesiology and reanimation
|July 17, 2023
概括
肺动脉静脉形形 (PAVMs) 可以导致严重的并发症,并且经常被误诊为心内静脉形. 心声学可以区分PAVMs与圆孔 (PFO) 或心房隔膜缺陷 (ASD).
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
背景情况:
- 肺动脉静脉形形 (PAVMs) 由于罕见的误解,往往被低估诊断.
- PAVMs可能导致严重的并发症,如脑和密码性栓塞.
- PAVM的心声学发现可以模仿心内突变 (PFO/ASD),导致误诊.
研究的目的:
- 突出PAVM识别中的诊断挑战.
- 强调识别独特的回声心脏学特征的重要性,这些特征使PAVM与心脏内突变区分开来.
- 提出一个错误地归因于PFO的重复性密码性中风病例,PAVM被诊断为晚期的病例.
主要方法:
- 病例报告详细介绍患者的诊断旅程.
- 对PAVM中的心声回声检查结果与心内短路检查的综述.
- 诊断错误和延迟治疗的分析.
主要成果:
- 患者经历了反复出现的密码性中风.
- 最初的诊断错误地将症状归因于状孔 (PFO).
- 多个PAVM只有在两个失败的PFO关闭尝试后才被正确诊断出来.
结论:
- PAVMs代表了右向左转移的重要替代病因.
- 心声学家必须了解特定的成像特征,以区分PAVM和心内缺陷.
- 及时,准确地诊断PAVMs对于预防严重的发病率和死亡率至关重要.
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