Высокая легочная гипертензия: возможности эхокардиографии в оценке прогноза клинического течения и определении показаний к операции пересадки легких
![Диссертация: Высокая легочная гипертензия: возможности эхокардиографии в оценке прогноза клинического течения и определении показаний к операции пересадки легких](https://westud.ru/work/5260195/cover.png)
Диссертация
Это первое исследование, в котором проанализированы различные варианты нарушения сердечной деятельности в зависимости от причин ВЛГ и функционального класса. В связи с чем, были определены эхокардиографические показатели, отражающие тяжелое клиническое течение у различных групп пациентов с BJ1I при дефеюе межжелудочковой перегородки (ДМЖП), дефекте межпредсердной перегородки (ДМПП), открытом… Читать ещё >
Содержание
- ГЛАВА. ОБЗОР ЛИТЕРАТУРЫ
- 1. 1. Классификации легочной гипертензии
- 1. 1. 1. Классификации легочной гипертензии при врожденных и приобретенных пороках сердца
- 1. 1. 2. Морфологическая классификация ПЛГ
- 1. 2. Естественное течение и выживаемость при ВЛГ
- 1. 2. 1. Больные с синдромом Эйзенменгера
- 1. 2. 2. Больные первичной легочной гипертензией
- 1. 3. Современные подходы к лечению ВЛГ
- 1. 3. 1. Консервативная терапия
- 1. 3. 2. Трансплантация легких
- 1. 4. Методы оценки морфофункционального состояния миокарда желудочков
- 1. 5. Методы оценки гемодинамики МКК
- 1. 1. Классификации легочной гипертензии
- ГЛАВА. МАТЕРИАЛ И МЕТОДЫ ИССЛЕДОВАНИЯ
- 2. 1. Краткая характеристика материала
- 2. 2. Методы исследования характеристик морфофункционалмкм о состояния сердца у больных с высокой легочной гипертензией
- 2. 3. Определение среднего давления в легочной артерии
- ГЛАВА. РЕЗУЛЬТАТЫ
- 3. 1. Показатели морфофункционального состояния сердца
- 3. 1. 2. Оценка геометрии левого желудочка у больных ВЛГ
- 3. 1. 3. Оценка диастолической функции желудочков.7()
- 3. 2. Оценка прогноза клинического течения
- 3. 2. 1. Пациенты с дефектом межжелудочковой перегородки и синдромом Эйзенменгера
- 3. 2. 2. Пациенты с высокой легочной гипертензией и интактной МЖП: ДМПП, ОАП, РВЛГ и ПЛГ
- 3. 3. Оценка эффективности гипотензивной терапии
- 3. 4. Летальные исходы
- 3. 5. Показания к операции пересадки легких
- 3. 1. Показатели морфофункционального состояния сердца
- ГЛАВА. ОБСУЖДЕНИЕ
- 4. 1. Показатели морфофункционального состояния сердца у больных с высокой легочной гипертензией (ВЛГ)
- 4. 2. Прогноз клинического течения заболевания у больных ВЛГ
- 4. 2. 1. Дефект межжелудочковой перегородки с синдромом Эйзенменгера
- 4. 2. 2. Дефект межпредсердной перегородки с синдромом Эйзенменгера
- 4. 2. 3. Пациенты с открытым артериальным протоком с синдромом Эйзенменгера
- 4. 2. 4. Больные первичной легочной гипертензией и резидуальной ВЛГ после коррекции ВГ1С. I
- 4. 3. Оценка)ффективности вазодилатирующей терапии
- 4. 4. Определение показаний к операции грансплатации лег ки
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