卵圆孔未闭

最后审阅: 21 四月 2022
最后更新: 08 二月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 房间隔动脉瘤
  • 先天性心脏病
  • cerebrovascular accident (CVA) or transient ischaemic attack at ages <60 years
  • 心脏检查异常
  • 深静脉血栓
更多 关键诊断因素

其他诊断因素

  • 与潜水有关的减压症状
  • 肢体感觉寒冷
  • 肢体疼痛
  • shortness of breath while upright in platypnoea-orthodeoxia syndrome
其他诊断因素

危险因素

  • 房间隔动脉瘤
  • 先天性心脏病
  • 偏头痛的家族史
  • 偏头痛
  • family history of PFO
  • 阻塞性睡眠呼吸暂停
更多 危险因素

诊断性检查

首要检查

  • 经胸彩色多普勒超声心动图联合超声造影检查
  • 经食管彩色多普勒超声心动图联合超声造影检查
更多 首要检查

需考虑的检查

  • 心脏内超声心动图
  • 下肢超声检查
  • 下肢 MRI
  • 倾斜台经食管超声心动图检查
更多 需考虑的检查

新兴检查

  • 经颅多普勒检查

治疗流程

持续性治疗

无症状且栓塞事件风险较低(非高危职业)

asymptomatic with high risk of thrombotic event (not in high-risk occupation)

cryptogenic stroke/transient ischaemic attack

高危职业

撰稿人

作者

Kul Aggarwal, MD, MRCP, FACC
Kul Aggarwal

Professor of Clinical Medicine

University of Missouri

Columbia

MO

利益声明

KA is the author of a reference cited in this topic.

Poorna R Karuparthi, MD, FACC

Clinical Assistant Professor

University of Missouri Hospital

Division of Cardiology

University of Missouri

Columbia

MO

利益声明

PRK declares that he has no competing interests.

鸣谢

Professor Kul Aggarwal and Poorna R Karuparthi would like to gratefully acknowledge Dr Vibhuti Singh, a previous contributor to this topic.

利益声明

VS declares that he has no competing interests.

同行评议者

Navin Nanda, MD

Professor of Medicine

Director Heart Station and Echocardiography Laboratories

University of Alabama at Birmingham

Birmingham

AL

利益声明

NN declares that he has no competing interests.

Andrew Turley, MB ChB

Cardiology Specialist Registrar

The James Cook University Hospital

Middlesbrough

UK

利益声明

AT declares that he has no competing interests.

  • 卵圆孔未闭 images
  • 鉴别诊断

    • 肺部动静脉畸形 (AVM)
    更多 鉴别诊断
  • 指南

    • 2020 ESC guidelines for the management of adult congenital heart disease
    • 2021 guideline for the prevention of stroke in patients with stroke and transient ischemic attack
    更多 指南
  • 患者教育信息

    偏头痛

    更多 患者教育信息
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