Læknablaðið

Ukioqatigiit

Læknablaðið - 15.09.1996, Qupperneq 31

Læknablaðið - 15.09.1996, Qupperneq 31
LÆKNABLAÐIÐ 1996; 82 641 yfirleitt vægur var míturlokulekinn oftast sam- fara kölkun í ósæðarloku sem gat þá gefið hærra óhljóð. Slagbilsóhljóð eru algeng meðal aldraðra. Ósæðarþröng og míturlokuleki eru tíð en ós- æðarlokukölkun þó algengust í þeim sem hafa slagbilsóhljóð. Næmi klínískrar skoðunar til greiningar lokusjúkdóma er ábótavant. Pó það sé sínu skárst fyrir ósæðarþröng er ekki treyst- andi á klíníska skoðun til útilokunar á henni. Tvívíddar- og Dopplerómun af hjarta er því mikilvæg til greiningar lokusjúkdóma, sérstak- lega ef sjúklingurinn hefur hjartakveisu eða hjartabilunareinkenni. Þakkir Guðmundi Oddssyni hjartalækni er þökkuð aðstoð við tölvuvinnslu og Maríu Henley læknafulltrúa fyrir frágang alls efnis. HEIMILDIR 1. Bruns DL, Van der Hauwaert LG. The aortic systolic murmur developing with increasing age. Br Heart J 1958; 20: 370-8. 2. Bethel CS, Crow EW. Heart sounds in the aged. Am J Cardiol 1963; 11: 763-7. 3. Aronow WS, Schwartz KS, Koenigsberg M. Correlation of aortic cuspal and aortic root disease with aortic systol- ic ejection murmurs and with mitral anular calcium in persons older than 62 years in a long-term health care facility. Am J Cardiol 1986; 58: 651-2. 4. Perloff JK. Heart sounds and murmurs: physiological mechanisms. In: Braunwald E. ed. Heart Disease: A Textbook of Cardiovascular Medicine, 4th ed. Philadel- phia: W.B. Saunders Company, 1992: 43-63. 5. Hallgrimsson J, Tulinius H. Chronic non-rheumatic aor- tic valvular disease: a population study based on au- topsies. J Chron Dis 1979; 32: 355-63. 6. Roberts WC, Perloff JK, Costantino T. Severe valvular aortic stenosis in patients over 65 years of age. Am J Cardiol 1971; 27: 497-506. 7. Akasaka T, Yoshikawa J, Yoshida K. Okumachi F, Koizumi K, Kenichi S, et al. Age-related valvular re- gurgitation: a study by pulsed Doppler echocardiog- raphy. Circulation Í987; 76: 262-5. 8. Rahko PS. Prevalence of regurgitant murmurs in pa- tients with valvular regurgitation detected by Doppler echocardiography. Ann Int Med 1989; 111: 466-72. 9. McKillop GM. Stewart DA, Burns JMA, Ballantyne D. Doppler echocardiography in elderly patients with ejec- tion systolic murmurs. Postgrad Med J 1991; 67:1059-61. 10. Jaffe WM, Roche AHG, Coverdale HA, McAlister HF, Ormiston JA, Greene ER. Clinical evaluation versus Doppler echocardiography in the quantitative assess- ment of valvular heart disease. Circulation 1988; 78: 267-75. 11. Hoffmann A, Burckhardt D. Evaluation of systolic mur- murs by Doppler ultrasonography. Br Heart J 1983; 50: 337—42. 12. Galan A, Zoghbi WA, Quinones MA. Determination of severity of valvular aortic stenosis by Doppler echocar- diography and relation of findings to clinical outcome and agreement with hemodynamic measurements deter- mined at cardiac catheterization. Am J Cardiol 1991; 67: 1007-12. 13. Danielsen R. Nordrehaug JE. Vik-Mo H. Factors affect- ing Doppler echocardiographic valve area assessment in aortic stenosis. Am J Cardiol 1989; 63: 1107-11. 14. Currie PJ, Seward JB. Reeder GS, Vlietstra RE., Bres- nahan DR. Bresnahan JF, et al. Continuos-wave Dop- pler echocardiographic assessment of severity of calcific aortic stenosis: a simultaneous Doppler-catheter correl- ative study in 100 adult patients. Circulation 1985, 71: 1162-9. 15. Danielsen R. Nordrehaug JE, Stangeland L, Vik-Mo H. Limitations in assessing the severity of aortic stenosis by Doppler gradients. Br Hcart J 1988; 59: 551-5. 16. Aronow WS, Kronzon I. Correlation of prevalence and severity of valvular aortic stenosis determined by conti- nous-wave Doppler echocardiograpy with physical signs of aortic stenosis in patients aged 62 to 100 years with aortic systolic ejection murmurs. Am J Cardiol 1987; 60: 399—401. 17. Teicholz LE, Kreulen T, Herman MV, Gorlin R. Prob- lems in echocardiographic volume determinations: Echocardiographic-angiographic correlations in the presence or absence of asynergy. Am J Cardiol 1976, 37: 7-11.
Qupperneq 1
Qupperneq 2
Qupperneq 3
Qupperneq 4
Qupperneq 5
Qupperneq 6
Qupperneq 7
Qupperneq 8
Qupperneq 9
Qupperneq 10
Qupperneq 11
Qupperneq 12
Qupperneq 13
Qupperneq 14
Qupperneq 15
Qupperneq 16
Qupperneq 17
Qupperneq 18
Qupperneq 19
Qupperneq 20
Qupperneq 21
Qupperneq 22
Qupperneq 23
Qupperneq 24
Qupperneq 25
Qupperneq 26
Qupperneq 27
Qupperneq 28
Qupperneq 29
Qupperneq 30
Qupperneq 31
Qupperneq 32
Qupperneq 33
Qupperneq 34
Qupperneq 35
Qupperneq 36
Qupperneq 37
Qupperneq 38
Qupperneq 39
Qupperneq 40
Qupperneq 41
Qupperneq 42
Qupperneq 43
Qupperneq 44
Qupperneq 45
Qupperneq 46
Qupperneq 47
Qupperneq 48
Qupperneq 49
Qupperneq 50
Qupperneq 51
Qupperneq 52
Qupperneq 53
Qupperneq 54
Qupperneq 55
Qupperneq 56
Qupperneq 57
Qupperneq 58
Qupperneq 59
Qupperneq 60
Qupperneq 61
Qupperneq 62
Qupperneq 63
Qupperneq 64
Qupperneq 65
Qupperneq 66
Qupperneq 67
Qupperneq 68
Qupperneq 69
Qupperneq 70
Qupperneq 71
Qupperneq 72
Qupperneq 73
Qupperneq 74
Qupperneq 75
Qupperneq 76

x

Læknablaðið

Direct Links

Hvis du vil linke til denne avis/magasin, skal du bruge disse links:

Link til denne avis/magasin: Læknablaðið
https://timarit.is/publication/986

Link til dette eksemplar:

Link til denne side:

Link til denne artikel:

Venligst ikke link direkte til billeder eller PDfs på Timarit.is, da sådanne webadresser kan ændres uden advarsel. Brug venligst de angivne webadresser for at linke til sitet.