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Regurgitação pulmonar

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
最后审阅： 24 Sep 2025
最后更新： 15 Mar 2024

小结

定义

病史和体格检查

关键诊断因素

  • presença de fatores de risco
完整详情

其他诊断因素

  • dispneia
  • tolerância reduzida ao exercício
  • sopro diastólico
  • ortopneia
  • dispneia paroxística noturna
  • palpitações
  • fadiga
  • diaforese
  • ponto de impulso apical máximo deslocado
  • sopro sistólico
  • sinais de insuficiência cardíaca direita
完整详情

危险因素

  • hipertensão pulmonar
  • reparo cirúrgico da tetralogia de Fallot, estenose pulmonar ou atresia pulmonar
  • endocardite
  • cardiopatia esquerda
  • procedimento de Ross prévio (com valva pulmonar protética, substituição com valva de homoenxerto)
  • doença do colágeno vascular
  • malignidades que comprometem a artéria pulmonar principal
完整详情

诊断性检查

首要检查

  • eletrocardiograma (ECG)
  • ecocardiografia transtorácica (ETT) com Doppler
  • radiografia torácica
完整详情

需考虑的检查

  • ecocardiografia transesofágica com Doppler (ETE)
  • ressonância nuclear magnética (RNM) cardíaca
  • ressonância nuclear magnética (RNM) do tórax
  • TC do tórax
完整详情

治疗流程

急症处理

regurgitação pulmonar aguda

持续性治疗

regurgitação pulmonar crônica

撰稿人

作者

Karen K. Stout, MD, FACC

Professor of Medicine

Adjunct Professor of Pediatrics and Cardiology

Division of Cardiology

University of Washington

Seattle

WA

利益声明

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

利益声明

AP declares that he has no competing interests

鸣谢

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.

利益声明

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

同行评议者

Satish Adwani, MD

Consultant in Paediatric Cardiology and Adults with Congenital Heart Disease

John Radcliffe Hospital

Oxford

UK

利益声明

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

利益声明

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

利益声明

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

利益声明

SWY declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

American College of Radiology. ACR appropriateness criteria: congenital or acquired heart disease​. 2023 [internet publication].全文

Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. J Am Coll Cardiol. 2019 Apr 2;73(12):e81-192.全文  摘要

Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J. 2021 Feb 11;42(6):563-645.全文  摘要

Bokma JP, Geva T, Sleeper LA, et al. Improved outcomes after pulmonary valve replacement in repaired tetralogy of Fallot. J Am Coll Cardiol. 2023 May 30;81(21):2075-85.全文  摘要

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):e25-197.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Regurgitação pulmonar images

  • Differentials

    • Estenose mitral
    • Regurgitação aórtica (RA)
    • Mixoma atrial
    更多 鉴别诊断

  • Guidelines

    • ACR appropriateness criteria: known or suspected congenital heart disease
    • 2020 ACC/AHA guideline for the management of patients with valvular heart disease
    更多 Guidelines

  • Patient information

    Insuficiência cardíaca: como posso me ajudar?

    Insuficiência cardíaca

    More Patient information

  • Videos

    Regurgitação pulmonar

    More videos
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