投性血栓:非紧缩性心肌病导致脏病发作和灾难性中风 - 一个案例报告
Madeeha Javed1, Shivani Desai1, Nathan DeRon2
1Department of Internal Medicine, Methodist Dallas Medical Center, Dallas, TX, USA.
BMC cardiovascular disorders
|February 20, 2025
概括
左心室非紧缩 (LVNC) 可以导致心力衰竭和危险的血栓. 早期识别和持续治疗对于管理这种罕见的心脏异常和预防严重后果至关重要.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 内部医学 内部医学
背景情况:
- 左心室非紧缩 (LVNC) 是一种罕见的心脏病,其特征是心肌厚,有突出的带和深深的隙.
- 这是一种遗传性疾病,通常与心肌病和先天性心脏病有关.
研究的目的:
- 突出非紧缩性心肌病作为心力衰竭和血栓栓塞的罕见原因.
- 强调认识到LVNC及其潜在严重临床后果的重要性.
主要方法:
- 一个病例介绍的是一个60岁的男性患有高血压和CKD3a阶段,出现腹痛.
- 诊断工作包括成像 (X射线,CT,TTE,TEE) 和心脏导管.
- 治疗包括医疗管理,抗凝固药物和指导方针导向医疗疗 (GDMT).
主要成果:
- 最初的呈现显示上层中枢动脉血栓和减少左心室射出分数.
- 经食道回声心电图确定了左心室非紧缩 (LVNC).
- 不遵守GDMT和抗凝药导致随后出现左心室血栓和神经缺陷.
结论:
- 非紧缩性心肌病是心力衰竭和血栓栓塞的罕见原因.
- 这一案例强调了医疗服务提供者必须意识到LVNC的严重发病潜力.
- 及时诊断和坚持治疗对于管理LVNC患者至关重要.
相关概念视频
Imbalances in Cardiac Output
1.3K
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...
1.3K
Imaging Studies for Cardiovascular System III: X-Ray
119
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...
119


