Algorithms for managing patients with structural heart abnormalities in therapeutic practice
https://doi.org/10.26295/OS.2020.21.50.002
Abstract
Among structural heart abnormalities (SНA) in clinical practice, mitral valve prolapse, an open oval window, and atrial septal aneurysm, which can present a real threat to the health and life of patients, are most common. Frequent subclinical course makes it difficult to detect them in a timely manner and requires focused attention of practicing doctors in assessing the phenotypic features of the structure of the musculoskeletal system and connective tissue, which can serve as markers of latent defects in the development of the heart. The article provides data on the most typical symptoms and clinical manifestations of SНA, possible complications and therapeutic tactics. Early detection of structural abnormalities of the heart and the choice of the right tactics for passive or active monitoring of patients with varying degrees of severity of defects in the development of the heart will help preserve the health or even life of patients.
About the Authors
E. A. BarabanovaРоссия
A. A. Arakelyants
Россия
T. V. Zaugolnikova
Россия
T. E. Morozova
Россия
References
1. Наднациональные (международные) рекомендации по структурным аномалиям сердца // Медицинский вестник Северного Кавказа. 2018. Т. 13. № 1-2.
2. Малев Э. Г. Распространенность, патогенетические механизмы и особенности ведения пациентов с пролапсом митрального клапана. 2014.
3. Онищенко Е. Ф. Открытое овальное окно и инсульт в клинической практике. СПб: ЭЛБИ-СПб, 2005.
4. Heart R. G., Diener H. C., Coutts S. B. et al. Cryptogenic Stroke/ESUS International Working Group. Embolic stroks of undetermined source: the case for a new clinical constract // The Lancet Neurology. 2014; 13 (4): 429-438.
5. Cramer S. C., Rordorf G., Maki J. H. et al. Increased pelvic vein thrombi in cryptogenic stroke: results of the Paradoxical Emboli frome Larde Veins in Ischemic Stroke (Pelvis) study // Stroke. 2004; 35 (1): 46-50. https://doi.org/10. 1161/01.str.0000106137.42649.ab.
6. Scarvelis D., Wells P. S. Diagnosis and treatment of deepvein thrombosis // Canadian Medical Association Journal. 2006; 175 (9): 1087-1092. DOI: 10.1503/cmaj.060366.
7. Caputi L., Usai S., Carriero M. R. et al. Microembolic Air Load During Contrast Transcranial Doppler: A Trigger for Migraine With Aura? // Headache: The Journal of Head and Face Pain. 2010; 50 (8): 1320-1327. https://doi.org/10.1111/j1526-4610.2010.01621.x.
8. Hara H., Virmani R., Ladich E. et al. Patent Foramen Ovale: Current Pathology, Pathophysiology, and Clinical Status // Journal of the American College of Cardiology. 2005; 46 (9): 1768-1776. https://doi.org/10.1016j.jacc.2005.08.038.
Review
For citations:
Barabanova E.A., Arakelyants A.A., Zaugolnikova T.V., Morozova T.E. Algorithms for managing patients with structural heart abnormalities in therapeutic practice. Lechaschi Vrach. 2020;(2):10-14. (In Russ.) https://doi.org/10.26295/OS.2020.21.50.002
JATS XML


















