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Pulmonary regurgitation

Última revisão: 25 Mar 2025
Última atualização: 15 Mar 2024

Resumo

Definição

História e exame físico

Outros fatores diagnósticos

  • dyspnea
  • decreased exercise tolerance
  • diastolic murmur
  • orthopnea
  • paroxysmal nocturnal dyspnea
  • palpitations
  • fatigue
  • diaphoresis
  • displaced point of maximal apical impulse
  • systolic murmur
  • signs of right-sided heart failure
Detalhes completos

Fatores de risco

  • pulmonary hypertension
  • surgical repair of tetralogy of Fallot, pulmonary stenosis, or pulmonary atresia
  • endocarditis
  • left-sided heart disease
  • previous Ross procedure (with prosthetic pulmonary valve, homograft valve replacement)
  • collagen vascular disease
  • malignancies that involve the main pulmonary artery
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ECG
  • transthoracic Doppler echocardiogram (TTE)
  • CXR
Detalhes completos

Investigações a serem consideradas

  • transesophageal Doppler echocardiogram (TEE)
  • cardiac MRI
  • MRI chest
  • CT scan chest
Detalhes completos

Algoritmo de tratamento

AGUDA

acute pulmonary regurgitation

CONTÍNUA

chronic pulmonary regurgitation

Colaboradores

Autores

Karen K. Stout, MD, FACC

Professor of Medicine

Adjunct Professor of Pediatrics and Cardiology

Division of Cardiology

University of Washington

Seattle

WA

Declarações

KKS is former chair of a prior ACC/AHA guidelines committee and an author of a guideline cited in this topic.

Andrew Pistner, MD

Assistant Professor of Medicine

Division of Cardiology

University of Washington

Seattle

WA

Declarações

AP declares that he has no competing interests.

Agradecimentos

Dr Karen K. Stout and Dr Andrew Pistner would like to gratefully acknowledge Dr Sachin S. Goel, Dr Chetan P. Huded, Dr Samir Kapadia, and Dr Mehdi H. Shishehbor, previous contributors to this topic.

Declarações

SSG, CPH, SK, and MHS declare that they have no competing interests.

Revisores

Satish Adwani, MD

Consultant in Paediatric Cardiology and Adults with Congenital Heart Disease

John Radcliffe Hospital

Oxford

UK

Declarações

SA declares that he has no competing interests.

Sarabjeet Singh, MD

Cardiology Fellow

Adult Cardiovascular Fellowship

Department of Cardiology

Chicago Medical School (CMS) and affiliated hospitals

Chicago

IL

Declarações

SS declares that he has no competing interests.

Debabrata Mukherjee, MD

Gill Foundation Professor of Interventional Cardiology

Director of Cardiac Catheterization Laboratories

Gill Heart Institute

Division of Cardiovascular Medicine

University of Kentucky

Lexington

KY

Declarações

DM declares that he has no competing interests.

Syed Wamique Yusuf, MD, MRCPI, FACC

Associate Professor

University of Texas MD Anderson Cancer Center

Department of Cardiology

Houston

TX

Declarações

SWY declares that he has no competing interests.

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