BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 童年急性风湿热 (ARF) 病史
  • 呼吸困难
  • a 波显著的颈静脉压升高
  • 胸骨左缘下方的低频收缩前(舒张)杂音

其他诊断因素

  • 年龄:40 余岁-50 余岁
  • 运动不耐受
  • 疲乏
  • 颈静脉搏动

危险因素

  • A 型链球菌 (GAS) 咽炎
  • 转移性类癌肿瘤
  • 人造三尖瓣
  • 静脉内药物的使用

诊断性检查

首要检查

  • 心电图 (ECG)
  • 胸部 X 射线
  • 2D 经胸超声心动图
  • 多普勒经胸腔超声心动图
全部具体信息

需要考虑的检查

  • 心脏导管
  • 心脏 MRI
  • 3D 经胸超声心动图
全部具体信息

治疗流程

贡献者

John R. Charpie MD, PhD

Professor

Pediatrics and Communicable Diseases

Division Director

Pediatric Cardiology

Medical Director

Pediatric Cardiothoracic ICU

University of Michigan Congenital Heart Center

Ann Arbor

MI

利益冲突披露
JRC declares that he has no competing interests.
Jeffrey D. Zampi MD

Assistant Professor

Pediatrics and Communicable Diseases

University of Michigan Congenital Heart Center

Ann Arbor

MI

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

Dr John R. Charpie and Dr Jeffrey D. Zampi would like to gratefully acknowledge Dr Martin L. Bocks, a previous contributor to this monograph. MLB declares that he has no competing interests.

同行评议专家 查看所有

Assistant Professor of Clinical Medicine

University of Missouri Hospitals and Clinics

Harry S. Truman VA Hospital

Columbia

MO

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

Consultant Cardiologist

Cardio-thoracic Unit

Guy's and St Thomas' Hospital

London

UK

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

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