[1]李明 张慧平.重度三尖瓣反流诊治现状[J].心血管病学进展,2024,(7):598.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.006]
 LI Ming,ZHANG Huiping.Current Status on Diagnosis and Treatment of Severe Tricuspid Regurgitation[J].Advances in Cardiovascular Diseases,2024,(7):598.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.006]
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重度三尖瓣反流诊治现状()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年7期
页码:
598
栏目:
综述
出版日期:
2024-07-25

文章信息/Info

Title:
Current Status on Diagnosis and Treatment of Severe Tricuspid Regurgitation
作者:
李明 张慧平
(北京医院 国家老年医学中心 北京协和医学院 中国医学科学院,北京100730)
Author(s):
LI MingZHANG Huiping
(Beijing Hospital,National Center of Gerontology,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730 ,China)
关键词:
重度三尖瓣反流诊断经导管三尖瓣介入治疗
Keywords:
Severe tricuspid regurgitation Diagnosis Transcatheter tricuspid valve intervention
DOI:
10.16806/j.cnki.issn.1004-3934.2024.07.006
摘要:
三尖瓣反流(TR)临床上并不少见,重度TR造成长期右心室容量负荷增加并导致不可逆心肌损伤,最终出现右心衰竭,使这类患者的住院率及死亡率增加。重度TR的治疗包括药物治疗、外科手术及经导管三尖瓣介入治疗。单纯外科手术治疗重度TR的死亡率高于其他瓣膜关闭不全的外科手术。经导管三尖瓣介入治疗是治疗重度TR的一个新型手段,三尖瓣经导管缘对缘修复是应用最广泛的技术。现从重度TR的发病率、病因、诊断和治疗策略等方面进行综述。
Abstract:
Tricuspid regurgitation (TR) is not rare in clinical. Severe TR causes a long-term increase in right ventricular volume load and leads to irreversible myocardial damage,eventually leading to right heart failure,increasing the hospitalization rate and mortality of these patients. Treatment of severe TR includes drug therapy,surgery,and transcatheter tricuspid valve intervention (TTVI). The mortality rate of isolated surgical treatment of severe TR is higher than that of other surgeries for valvular regurgitation. TTVI is a new method of treating severe TR. Tricuspid valve transcatheter edge-to-edge repair is the most widely applied technique. This article reviews the incidence,etiology,diagnosis,and treatment strategies of severe TR

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