风湿性二尖瓣关闭不全

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AcquiredvonWillebrandsyndromeandfactorVIIIinpatientswithmoderatetoseveremitralregurgitationundergoingtranscathetermitralvalverepairClinicalCardiologyArticleEarlyRecent,Dec29,./clc.本文由“天纳”临床学术信息人工智能系统自动翻译点击文末“阅读原文”下载本文PDFBackgroundandHypothesisTheacquiredvonWillebrandsyndrome(AvWS),whichpredisposestobleedingevents,isoftenrelatedtovalvularheartdiseases.WeinvestigatedpossibleimplicationsofAvWSandfactorVIIIlevelsinpatientswithmoderatetoseveremitralregurgitation(MR)undergoingtranscathetermitralvalverepair(TMVR).获得性血管性血友病综合征(AvWS)易发生出血,常与瓣膜性心脏病有关。我们研究了中度至重度二尖瓣反流患者的二尖瓣关闭不全(AvWS)和二尖瓣关闭不全的可能影响。MethodsandResultspatientswithmoderatetosevereMRwereprospectivelyenrolled.CompletemeasurementsofvonWillebrandFactoractivity(vWFAct),vonWillebrandFactorantigen(vWFAg),andfactorVIIIexpressionbeforeand4?weeksafterTMVRwereavailablein85patients.Atbaseline,sevenpatientshadahistoryofgastrointestinalbleeding,twopatientssufferedbleedingeventsduringtheirhospitalstay,andonepatienthadableeding4?weeksafterTMVR.EventhoughvWFAct,vWFAct/vWFAgratioandvWFAgvaluesdidnotchangeafterTMVR,weobservedasignificantlylowervWFAct/vWFAgratioinpatientswithprimaryMRas
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