| Autor: |
K, Hirata, M, Kyushima, H, Asato, H, Mototake, T, Ie, E, Henzan, M, Maeshiro |
| Rok vydání: |
1993 |
| Předmět: |
|
| Zdroj: |
Japanese heart journal. 34(3) |
| ISSN: |
0021-4868 |
| Popis: |
A 25-year-old female developed high-grade atrioventricular block and markedly elevated central venous pressure after sustaining a crushing injury to the chest while driving a car. An echocardiographic examination with color Doppler revealed severe tricuspid regurgitation due to a torn papillary muscle. An extensive review of the literature showed the following: 1) correct diagnosis is often delayed because of coexisting multisystem involvement and the subtleness of abnormal physical signs, 2) identification of abnormally elevated right atrial pressure with a prominent "v" wave, and characteristic electrocardiogram appeared to be the key to early diagnosis, and 3) the final diagnosis may be confirmed by echocardiography with Doppler and/or cardiac catheterization. The role of echocardiographic examination with color Doppler technique deserves special emphasis because the final diagnosis can be easily reached during the acute phase at the bedside noninvasively. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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