慢性心脏:一个奇特的诊断
Juan D Ayala Torres1, Santiago Andrés Gómez Salazar1, Juan Gonzalo Vélez Zuluaga2
1Radiology, Universidad de Antioquia, Medellín, COL.
Cureus
|April 18, 2024
概括
本案例研究详细介绍了一个患有成人发病的斯蒂尔病的患者,在手术后患有心脏. 成功的心周切除术解决了,强调了诊断这种罕见疾病的重要性.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 类风湿病学 类风湿病学
背景情况:
- 成人发病的斯蒂尔病 (AOSD) 是一种罕见的全身炎症疾病.
- 多色炎是AOSD已知的并发症,可能需要手术干预.
- 在AOSD患者中,可能会出现血栓栓塞等并发症,需要抗凝治疗.
研究的目的:
- 在患有AOSD的患者胸部手术后,描述了一种罕见的晚发性心脏的病例.
- 突出诊断的挑战和心脏的成功管理.
主要方法:
- 一个56岁的男性患有AOSD的临床病例介绍.
- 诊断工作包括胸前心电图和心脏磁共振成像 (CMR).
- 手术干预:心周切除术.
主要成果:
- 一年多的渐进性呼吸障碍与心声图上的收缩迹象相关.
- CMR证实心脏,导致第二次心周切除术.
- 在没有心力衰竭的情况下,手术后解剖异常完全消失; 运动性呼吸障碍持续存在.
结论:
- 心脏是胸部手术的罕见并发症,表现不同.
- 使用先进成像 (CT,CMR) 和跨学科合作的及时诊断至关重要.
- 手术干预可以带来有利的结果,强调需要考虑这个实体.
相关概念视频
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Imaging Studies for Cardiovascular System III: X-Ray
180
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
180
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Cardiovascular System Abnormal Findings II: Auscultation
139
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
139
Gastroesophageal Reflux Disease II: Clinical Features and Management
76
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
76
Mechanism of Cardiac Arrhythmias
918
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
918


