经导管时代的多发性瓣膜性心脏病:最新进展回顾

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Structural Heart Pub Date : 2024-07-01 DOI:10.1016/j.shj.2024.100301
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引用次数: 0

摘要

尽管现有指南针对单瓣膜功能障碍提出了强有力的建议,但在我们的老龄化人口中,多瓣膜心脏病(MVHD)的发病率越来越高,这对临床指南的清晰性提出了挑战。由于多瓣膜受累时血流动力学的相互作用,超声心动图等传统诊断方法在精确量化瓣膜功能障碍方面面临固有的限制。因此,许多 MVHD 患者的病程较晚,手术风险较高。治疗瓣膜性心脏病的经导管疗法的推广为高风险患者增加了新的机会。然而,孤立瓣膜疗法对 MVHD 患者的影响仍不甚了解。本综述将重点讨论日常门诊中最常见的一些并发瓣膜异常的病因、诊断难题和治疗注意事项。
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Multiple Valvular Heart Disease in the Transcatheter Era: A State-of-the-Art Review

Although existing guidelines offer strong recommendations for single valvular dysfunction, the growing prevalence of multiple valvular heart disease (MVHD) in our aging population is challenging the clarity of clinical guidance. Traditional diagnostic modalities, such as echocardiography, face inherent constraints in precisely quantifying valvular dysfunction due to the hemodynamic interactions that occur with multiple valve involvement. Therefore, many patients with MVHD present at a later stage in their disease course and with an elevated surgical risk. The expansion of transcatheter therapy for the treatment of valvular heart disease has added new opportunities for higher-risk patients. However, the impact of isolated valve therapies on patients with MVHD is still not well understood. This review focuses on the etiology, diagnostic challenges, and therapeutic considerations for some of the most common concomitant valvular abnormalities that occur in our daily clinic population.

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来源期刊
Structural Heart
Structural Heart Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.60
自引率
0.00%
发文量
81
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