BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 七月 2016

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 劳力性呼吸困难
  • 运动耐量下降
  • 下肢水肿

其他诊断因素

  • 疲劳
  • 最大搏动的移位点
  • 端坐呼吸
  • 阵发性夜间呼吸困难

危险因素

  • 二尖瓣脱垂
  • 风湿性心脏病史
  • 感染性心内膜炎
  • 心脏创伤史

诊断性检查

首要检查

  • 经胸超声心动图
  • 心电图 (ECG)
全部具体信息

需要考虑的检查

  • 血流会聚法或近端等速表面积
  • 彩色多普勒血流
  • 经食管超声心动图
  • 左心导管插管术
全部具体信息

治疗流程

贡献者

Consultant Cardiothoracic Surgeon

National Heart and Lung Institute

Imperial College Faculty of Medicine

Imperial College Healthcare NHS Trust - Hammersmith Hospital

London

UK

利益冲突披露
PPP is an author of references cited in this monograph. PPP declares that he has no competing interests.

Dr Prakash P. Punjabi would like to gratefully acknowledge Dr Samir Kapadia and Dr Mehdi H. Shishehbor, previous contributors to this monograph. SK and MHS declare that they have no competing interests.

同行评议专家 查看所有

Fellow

Cardiovascular Imaging Center

Department of Cardiology

Cleveland Clinic Foundation

Cleveland

OH

利益冲突披露
LR declares that he has no competing interests.

Associate Professor of Medicine

Department of Medicine

Baylor College of Medicine

Houston

TX

利益冲突披露
RF declares that she has no competing interests.

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