两个单心室病例的肺血管扩张剂引起的血流动力学下降和停药后恢复。

IF 0.9 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology in the Young Pub Date : 2025-03-10 DOI:10.1017/S1047951125000538

Yuichi Ishikawa, Yuki Iwaya, Ayako Kuraoka

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引用次数: 0

摘要

在两个单心室病例中，肺血管扩张剂增加了全身到肺侧支血流，导致血流动力学下降。停药逆转侧支血流，改善心力衰竭，强调需要仔细监测。连续心脏MRI作为一种非侵入性工具，对于检测侧支血流的变化和指导血管扩张剂的使用对于这一人群的最佳管理可能是必不可少的。

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Pulmonary vasodilator-induced haemodynamic decline and recovery post-discontinuation in two single-ventricle cases.

Pulmonary vasodilators increased the systemic-to-pulmonary collateral flow in two single-ventricle cases, causing haemodynamic decline. Discontinuation reversed the collateral flow and improved heart failure, highlighting the need for careful monitoring. Serial cardiac MRI, as a non-invasive tool, may be essential to detect changes in collateral flow and guide vasodilator use for optimal management in this population.

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来源期刊

Cardiology in the Young 医学-小儿科

CiteScore

1.70

自引率

10.00%

发文量

715

审稿时长

4-8 weeks

期刊介绍： Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.