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  • 标题:A Patient with Hypertrophic Cardiomyopathy Requiring Careful Evaluation of Heart Failure by Doppler Echocardiography
  • 本地全文:下载
  • 作者:Toshinori Yuasa ; Yutaka Otsuji ; Chuwa Tei
  • 期刊名称:循環制御
  • 印刷版ISSN:0389-1844
  • 出版年度:2006
  • 卷号:27
  • 期号:1
  • 页码:61-66
  • DOI:10.11312/ccm.27.61
  • 出版社:Japan Society of Circulation Control in Medicine
  • 摘要:We encountered a pre-operative patient with hypertrophic cardiomyopathy who needed a careful evaluation of heart failure by Doppler echocardiography. On echocardiographic examination, mitral inflow showed an abnormal relaxation pattern, suggesting normal left atrial pressure. However the pulmonary capillary wedge pressure by a Swan-Ganz catheter was elevated. In echocardiographic parameters, mitral E velocity to mitral annular E velocity ratio(E/E') suggested high left atrial pressure. Doppler echocardiographic evaluation of heart failure needs to be performed carefully, especially in patients with hypertrophic cardiomyopathy and advanced diastolic left ventricular relaxation.
  • 关键词:hypertrophic cardiomyopathy ; pulmonary capillary wedge pressure ; E/E'
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