课件：缺血性二尖瓣反流.pptx

后面内容直接删除就行资料可以编辑修改使用资料可以编辑修改使用主要经营：网络软件设计、图文设计制作、发布广告等公司秉着以优质的服务对待每一位客户，做到让客户满意！致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求感谢您的观看和下载The user can demonstrate on a projector or computer, or print the presentation and make it into a film to be used in a wider field ISCHEMIC MITRAL REGURGITATION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION 急性心肌梗死合并缺血性二尖瓣反流Mechanical Complications ofAcute Myocardial InfarctionPrimary PCI as the principal reperfusion strategy following STEMI, the incidence of mechanical complications has reduced significantly to less than 1%Rupture of the left ventricular free wall (0.52%)Papillary muscle (0.26%)Ventricular septum (0.17%)Survival after Mechanical complicationACUTE MITRAL REGURGITATION（MR）IntroductionMild to moderate chronic MR is found in 15% to 45% of patients after AMI，usually transient and asymptomaticAcute MR secondary to papillary muscle rupture is a life-threatening complication with a poor prognosisOccurs in 0.25% of patients following AMI and represents up to 7% of patients in cardiogenic shock following AMIDiagnosed between 2 to 7 days after AMI，the median time to papillary muscle rupture is approximately 13 hoursPathophysiologyFollowing AMI,in combination with changes in LV shape and regional wall function, results in acute MREven slight modifications of LV geometry caused by regional wall-motion abnormality may contribute to the increased frequency of MR after AMICommonly following an inferior MI，owing to the single blood supply to the posteromedial papillary muscle from the PDPrevalence of mitral regurgitation (MR) with respect to posterior papillary muscle (PM) perfusion pattern and inferior myocardial infarction (MI). Paolo Voci et al. Circulation. 1995;91:1714-1718Copyright ? American Heart Association, Inc. All rights reserved.DiagnosisImmediate pulmonary edema, hypotension, and,in some cases, cardiogenic shock A new pansystolic murmur is heard loudest at the cardiac apexElectrocardiography usually confirms a