A management strategy for mild valvar pulmonary stenosis
A management strategy for mild valvar pulmonary stenosis
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DOI：
10.1007/s00246-007-9191-y
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发表时间：
2008-05-01
影响因子：
1.6
通讯作者：
Mahle, William T.
中科院分区：
文献类型：
--
作者：
Drossner, David M.;Mahle, William T.
肺动脉瓣狭窄（PVS）是一种常见的先天性心脏病变，占活产儿的1/1000，大多数患者具有轻度跨瓣膜梯度。在本研究中，我们试图确定超声心动图诊断的轻度PVS的结果，并提出一种管理算法，该算法可以识别有PVS进展风险的患者，同时减少医疗保健支出。在这项单中心回顾性研究中，我们纳入了所有符合以下标准的患者：首次诊断为 PVS 的年龄 < 10 岁，初始峰值收缩期多普勒梯度为
Pulmonary valve stenosis (PVS) is a common congenital cardiac lesion, 1/1000 live-births, the majority of patients having mild transvalvar gradients. In the present study, we sought to determine the outcome of mild PVS diagnosed by echocardiography and to propose a management algorithm that would identify patients at risk for progression of PVS, yet reduce health care expenditures. In this single-center retrospective study, we included all patients who met the following criteria: first diagnosed with PVS at < 10 years of age, an initial peak systolic Doppler gradient of