[二次心房三角吐:一种被低估但在临床上越来越重要的门疾病]
Luigi P Badano1, Michele Tomaselli2, Chiara Fraccaro3
1Centro di Diagnostica Cardiovascolare Integrata, Istituto Auxologico Italiano, IRCCS, Milano - Dipartimento di Medicina e Chirurgia, Università degli Studi Milano-Bicocca, Milano.
概括
前庭二次三回 (A-STR) 源于右心房扩张,通常与心房有关. 早期诊断和治疗潜在疾病对于管理这种被低估的膜心脏病至关重要.
科学领域:
- 心脏病学
- 心脏膜疾病
- 心声检查
背景情况:
- 前庭二次三回 (A-STR) 是由于右前庭和三环扩张而没有内在的传单问题.
- A-STR与心房动和心力衰竭有关,导致慢性右心房重塑.
- 这种疾病的患病率和死亡率虽然很高,但往往被低估.
研究的目的:
- 提供A-STR的综合审查,涵盖其流行病学,病理生理学,诊断和治疗.
- 综合当前的证据,并确定A-STR管理中的知识差距.
- 引导临床医生管理A-STR并刺激进一步的研究.
主要方法:
- 对A-STR的当前证据进行综合的文献综述.
- 对诊断方法的分析,主要是心声回声.
- 评估现有和新兴的治疗策略.
主要成果:
- A-STR主要是由心房重塑引起的,与心室原因不同.
- 超声波是主要的诊断工具.
- 治疗包括治疗潜在的疾病 (例如,心房动,HFpEF) 并可能包括手术或透管干预.
结论:
- A-STR是一种被低估的膜性心脏病,
- 有效的管理需要解决潜在的心房重塑和相关情况.
- 需要进一步的研究来优化治疗策略和改善患者的结果.
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