Diagnostic cardiac catheterization. When is it appropriate?
Diagnostic cardiac catheterization. When is it appropriate?
复制标题
诊断性心导管检查。
作者：
L. A. Walder;F. Schaller
心导管插入术是一种低风险手术，可提供心脏和冠状动脉解剖结构、血流动力学参数和瓣膜功能的信息。并不是所有有心脏病症状的患者都需要接受手术。大多数患者在转诊进行诊断性心导管插入术前应进行无创性筛查。显然，并非所有患者都明确符合严格的标准，在“边缘”病例中做出决定需要临床判断。这里给出的建议是ACC/AHA指南和当前文献中定义的标准的组合。
Cardiac catheterization is a low-risk procedure that provides information on cardiac and coronary artery anatomy, hemodynamic parameters, and valvular function. Not all patients with cardiac symptoms need the procedure. Most patients should have noninvasive screening procedures before referral for diagnostic cardiac catheterization. Obviously, not all patients clearly meet strict criteria, and making decisions in "borderline" cases demands clinical judgment. The recommendations given here are a combination of ACC/AHA guidelines and standards defined in current literature.