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首页> 外文期刊>Japanese heart journal >Apexcardiogram and Phonocardiogram in the Diagnosis of Left Atrial MyxomaReport of a Case
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Apexcardiogram and Phonocardiogram in the Diagnosis of Left Atrial MyxomaReport of a Case

机译:心电图和心电图检查在左房粘液瘤的诊断中的一例报告

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A 40-year-old housewife with left atrial myxoma was reported and discussed. The following findings, as observed in our case, would be valuable in diagnosis of left atrial myxoma prior to cardiac catheterization: 1) a prolonged first heart sound in the phonocardiogram; 2) one or two notches in the systolic upstroke of the apexcardiogram; and 3) an extra positive wave just after the systolic downstroke of the apexcardiogram.At right heart catheterization, prominent C and V waves and a rapid Y descent are suggestive of left atrial myxoma in the absence of other features of significant mitral regurgitation. A marked spontaneous fluctuation of the V wave in the pulmonary wedge pressure would be an additional feature suggesting left atrial myxoma. A right pleural effusion was observed to persist in our case and was attributed to impaired venous return from the right pulmonary veins by the tumor.
机译:据报道并讨论了一名40岁的左心房粘液瘤家庭主妇。在我们的病例中观察到的以下发现,对于心脏导管插入术之前的左心房粘液瘤的诊断将是有价值的:1)心电图中较长的第一心音; 2)心动图收缩期上搏中的一个或两个凹口; 3)心尖收缩期收缩后刚好出现额外的正波。在右心导管检查中,明显的C和V波以及快速的Y下降提示左心室粘液瘤,而没有其他明显的二尖瓣反流特征。 V波在肺楔形压中的明显自发性波动可能是提示左心房粘液瘤的另一个特征。在我们的病例中观察到右胸腔积液持续存在,这归因于肿瘤导致右肺静脉静脉回流受损。

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