对于无二尖瓣反流的无症状患者或有轻度二尖瓣反流的患者,应每 3-5 年评估一次。
如果患者症状加重或临床检查指标改变时,超声心动图应重复检查。[1]Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2014 Jun 10;129(23):e521-643.http://circ.ahajournals.org/content/129/23/e521.longhttp://www.ncbi.nlm.nih.gov/pubmed/24589853?tool=bestpractice.com
中度二尖瓣反流患者需每年重复行超声心动图随诊。 重度二尖瓣反流患者应至少每半年行超声心动图检查。 在某些患者中可行负荷超声心动图检查。
这对单纯二尖瓣脱垂的妊娠患者无禁忌。[1]Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2014 Jun 10;129(23):e521-643.http://circ.ahajournals.org/content/129/23/e521.longhttp://www.ncbi.nlm.nih.gov/pubmed/24589853?tool=bestpractice.com