WordNet
- of critical importance and consequence; "an acute (or critical) lack of research funds"
- having or demonstrating ability to recognize or draw fine distinctions; "an acute observer of politics and politicians"; "incisive comments"; "icy knifelike reasoning"; "as sharp and incisive as the stroke of a fang"; "penetrating insight"; "frequent penetrative observations" (同)discriminating, incisive, keen, knifelike, penetrating, penetrative, piercing, sharp
- extremely sharp or intense; "acute pain"; "felt acute annoyance"; "intense itching and burning" (同)intense
- having or experiencing a rapid onset and short but severe course; "acute appendicitis"; "the acute phase of the illness"; "acute patients"
- of an angle; less than 90 degrees
- backflow of blood through a defective heart valve
- recall after rote memorization; "he complained that school was just memorization and regurgitation"
- relating to or resembling the miter worn by some clerics
- of or relating to or located in or near the mitral valve; "mitral insufficiency"
PrepTutorEJDIC
- (先の)『鋭い』,とがった / (痛み・感情などが)『激しい』,強い / (知力・感覚などが)『鋭い』,鋭敏な / (事態が)重大な / (病気が)急性の / (音が)高い,鋭い / 鋭角の
- 逆流 / (未消化食物の)吐きもどし,反芻(はんすう) / 血液の逆流
UpToDate Contents
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English Journal
- TandemHeart placement for cardiogenic shock in acute severe mitral regurgitation and right ventricular failure.
- Hira RS, Thamwiwat A, Kar B.Author information Division of Cardiology, Baylor College of Medicine, Houston, Texas.AbstractWe report a case of a patient with severe mitral regurgitation (MR) due to infective endocarditis with preserved left ventricular systolic function complicated by severe pulmonary hypertension, right ventricular (RV) dysfunction, and cardiogenic shock. He was evaluated by cardiothoracic surgery for mitral valve replacement (MVR). It appeared that the high pulmonary artery pressure (PAP) had been chronic with acute worsening, thus raising concerns that it may not promptly reverse after MVR, putting him at high risk for postoperative RV failure and increasing the risk of mortality. A TandemHeart (TH) percutaneous ventricular assist device (pVAD) was placed with improvement in hemodynamics following which MVR was done. To our knowledge, this is the first report of the preoperative use of the TH pVAD in severe acute MR for hemodynamic stabilization in preparation for MVR. © 2013 Wiley Periodicals, Inc.
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.Catheter Cardiovasc Interv.2014 Feb 1;83(2):319-22. doi: 10.1002/ccd.25107. Epub 2013 Aug 5.
- We report a case of a patient with severe mitral regurgitation (MR) due to infective endocarditis with preserved left ventricular systolic function complicated by severe pulmonary hypertension, right ventricular (RV) dysfunction, and cardiogenic shock. He was evaluated by cardiothoracic surgery for
- PMID 23907937
- Interleukin-1 Receptor-Related Protein ST2 and Mitral Valve Repair Outcome in Patients with Chronic Degenerative Mitral Regurgitation.
- Galeone A1, Lessana A2, Mascolo E3, Di Serio F3, Marraudino N1, Laborde F2, Paparella D1.Author information 1Division of Cardiac Surgery, Department of Emergency and Organ Transplant, University "Aldo Moro" of Bari, Italy.2Department of Cardiac Surgery, Institut Mutualiste Montsouris, Paris, France.3Department of Clinical Pathology, Policlinico Hospital, Bari, Italy.AbstractBackground ST2 is a member of the interleukin-1 receptor family that is markedly upregulated in cultured cardiomyocytes subjected to mechanical strain. Serum soluble ST2 (sST2) levels can be detected in patients with acute myocardial infarction and severe chronic heart failure. This study sought to assess for the first time the activation of the ST2 pathway in patients with severe chronic degenerative mitral regurgitation. Materials and Methods Serum sST2 levels were measured in 20 patients scheduled for mitral valve (MV) repair at baseline, at the end of the intervention, on postoperative day 1, at hospital discharge, and after 6 months. Patients also underwent measurement of N-terminal pro-brain natriuretic peptide and echocardiographic evaluation at each time point. Results At baseline, sST2 was detected in 10 (50%) patients (mean value, 60 ± 74 pg/mL; range, 0-234 pg/mL; median, 8 pg/mL). MV repair was performed successfully in all patients. Cardiac surgery with cardiopulmonary bypass was associated with a rapid and transient increase in sST2 levels. Patients with baseline higher versus lower sST2 levels (≥ 8 vs. < 8 pg/mL) had significantly higher levels of sST2 on postoperative day 1 (1,050 ± 593 vs. 440 ± 312 pg/mL; p = 0.009). At follow-up, patients with preoperative sST2 ≥ 8 pg/mL had significantly higher ejection fraction (EF) (64.7 ± 5.8 vs. 57.6 ± 5.9; p = 0.03) and lower left ventricular end-diastolic diameter (LVEDD) (50.6 ± 5.8 vs. 56 ± 4.2; p = 0.03) compared with patients with preoperative sST2 < 8 pg/mL. Conclusion Preoperative ST2 activation, evidenced by the presence of serum sST2 levels, is present in half of the patients with chronic degenerative mitral regurgitation and is associated with higher levels of EF and lower levels of LVEDD after MV repair.
- The Thoracic and cardiovascular surgeon.Thorac Cardiovasc Surg.2014 Feb;62(1):47-51. doi: 10.1055/s-0033-1356751. Epub 2013 Sep 24.
- Background ST2 is a member of the interleukin-1 receptor family that is markedly upregulated in cultured cardiomyocytes subjected to mechanical strain. Serum soluble ST2 (sST2) levels can be detected in patients with acute myocardial infarction and severe chronic heart failure. This study sought t
- PMID 24065602
Japanese Journal
- 杉山 博信,戸部 智,納庄 弘基 [他]
- 胸部外科 = The Japanese journal of thoracic surgery 66(6), 501-504, 2013-06
- NAID 40019693042
- 超低出生体重児の循環不全による急性腎不全に対して腹膜透析を施行した1例
- 石塚 潤,澤田 真理子,桑門 克治,好川 貴久,吉永 大介,田中 紀子,藤原 充弘,武田 修明
- Nihon Shoni Jinzobyo Gakkai Zasshi 26(1), 116-121, 2013
- 超低出生体重児に対して腹膜透析を行ったという報告はあるが,腹膜透析の導入基準や安全性は確立されていない。今回,超低出生体重児の循環不全による急性腎不全に対して腹膜透析を施行したので,当院NICUで施行した腹膜透析19症例(1,000 g未満10症例)とともに報告する。症例は,在胎28週2日,655 gで出生した双胎間輸血症候群の供血児である。日齢11より肺障害に対し長期にステロイドを使用していた …
- NAID 130003384550
Related Links
- Mitral regurgitation, in the acute and chronic decompensated states, is commonly encountered in the emergency department. An understanding of the underlying etiologies and pathophysiology of the condition is critical ...
- Mitral regurgitation (MR) is defined as an abnormal reversal of blood flow from the left ventricle to the left atrium. It is caused by disruption in any part of the mitral valve apparatus, which comprises the mitral annulus, the ...
★リンクテーブル★
[★]
- (疾患)急性の、急性型の、急性的な。(形状が)鋭い、鋭角の。(感覚、才知などが)鋭い。明敏な、鋭い眼識のある。
- 関
- acutely、quick、sharp
[★]
- 同
- 逆流
[★]
- 関
- mitral valve
[★]
僧帽弁閉鎖不全症 MR