Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- fadiga e intolerância ao esforço
- dispneia
- palpitações
- anormalidade venosa jugular
- ritmo cardíaco irregular
- sopro sistólico paraesternal
- aumento do sopro sistólico na inspiração (sinal de Carvallo)
- edema periférico
Другие диагностические факторы
- distensão abdominal
- saciedade precoce, dispepsia
- pulsação do fígado
Факторы риска
- insuficiência cardíaca esquerda
- anel tricúspide dilatado
- doença reumática cardíaca
- marca-passo permanente
- endocardite
- cardiopatia carcinoide
- encarceramento do fio do marca-passo
- cardiomiopatia isquêmica
- pericardite constritiva
- cardiopatia congênita
- toxinas
- artrite reumatoide
- radioterapia
- trauma
- Síndrome de Marfan
- prolapso da valva tricúspide
Диагностические исследования
Исследования, которые показаны в первую очередь
- ecocardiograma transesofágico ou transtorácico
- eletrocardiograma (ECG)
- TFHs
- ureia e creatinina séricas
- Hemograma completo
- radiografia torácica
Исследования, проведение которых нужно рассмотреть
- ecocardiografia transesofágica cirúrgica
- ecocardiografia transtorácica pós-operatória
- cateterismo cardíaco
- ressonância nuclear magnética (RNM) cardíaca (técnica preferida para avaliação do tamanho e da função do ventrículo direito)
Алгоритм лечения
primária: leve ou moderada
primária: grave
secundária: leve ou moderada
secundária: grave
Составители
Авторы
Shahab A. Akhter, MD
Professor of Cardiothoracic
Division of Cardiac Surgery
Department of Cardiovascular Sciences
Brody School of Medicine
East Carolina University
Greenville
NC
Раскрытие информации
SAA declares that he has no competing interests.
Paul Tang, MD, PhD
Assistant Professor
Department of Cardiac Surgery
University of Michigan
Ann Arbor
MI
Раскрытие информации
PT declares that he has no competing interests.
Jarred Mondonedo, MD, PhD
Cardiothoracic Surgery Fellow
Department of Cardiac Surgery
University of Michigan
Ann Arbor
MI
Раскрытие информации
JM declares that he has no competing interests.
Выражение благодарностей
Dr Shahab A. Akhter and Dr Paul Tang would like to gratefully acknowledge Dr Kevin L. Greason, Dr Sorin V. Pislaru, and Prof. Thoraf M. Sundt III, previous contributors to this topic.
Раскрытие информации
KLG, SVP, and TMS declare that they have no competing interests.
Рецензенты
Larry A. Weinrauch, MD
Assistant Professor of Medicine
Harvard Medical School
Watertown
MA
Раскрытие информации
LAW declares that he has no competing interests.
Prakash P. Punjabi, MB BS
Consultant Cardiothoracic Surgeon
Imperial College Healthcare NHS Trust
London
UK
Раскрытие информации
PPP declares that he has no competing interests.
Список литературы
Основные статьи
Shah PM, Raney AA. Tricuspid valve disease. Curr Probl Cardiol. 2008 Feb;33(2):47-84. Аннотация
Vahanian A, Beyersdorf F, Praz F, et al; ESC/EACTS Scientific Document Group; ESC Scientific Document Group. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 28 Aug 2021 [Epub ahead of print].Полный текст Аннотация
Lancellotti P, Moura L, Pierard LA, et al. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr. 2010 May;11(4):307-32.Полный текст Аннотация
Writing Committee Members., Otto CM, Nishimura RA, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021 Feb 2;77(4):e25-e197.Полный текст Аннотация
Abbas M, Hamilton M, Yahya M, et al. Pulsating varicose veins!! The diagnosis lies in the heart. ANZ J Surg. 2006 Apr;76(4):264-6. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Рекомендации
- 2022 AHA/ACC/HFSA guideline for the management of heart failure
- 2020 ACC/AHA guideline for the management of patients with valvular heart disease
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