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
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
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- ECG
- transthoracic Doppler echocardiogram (TTE)
- CXR
Investigações a serem consideradas
- transesophageal Doppler echocardiogram (TEE)
- cardiac MRI
- MRI chest
- CT scan chest
Algoritmo de tratamento
acute pulmonary regurgitation
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.
Diagnósticos diferenciais
- Mitral stenosis
- Aortic regurgitation (AR)
- Atrial myxoma
Mais Diagnósticos diferenciaisDiretrizes
- ACR appropriateness criteria: known or suspected congenital heart disease
- ACR appropriateness criteria: known or suspected congenital heart disease
Mais DiretrizesFolhetos informativos para os pacientes
Heart failure
Heart failure: how can I help myself?
Mais Folhetos informativos para os pacientesConectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal