[1]陈阳 赵庆豪 赵杰 吴永健.经导管主动脉瓣置换术时代慢性主动脉瓣反流诊治进展[J].心血管病学进展,2022,(1):1-6.[doi:10.16806/j.cnki.issn.1004-3934.2022.01.001]
　CHEN Yang,ZHAO Qinghao,SONG Guangyuan,et al.Diagnosis and Treatment of Chronic Aortic Regurgitation in Transcatheter Aortic Valve Replacement Era[J].Advances in Cardiovascular Diseases,2022,(1):1-6.[doi:10.16806/j.cnki.issn.1004-3934.2022.01.001]
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经导管主动脉瓣置换术时代慢性主动脉瓣反流诊治进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年1期
页码:
1-6
栏目:
出版日期:
2022-01-25

文章信息/Info

Title:
Diagnosis and Treatment of Chronic Aortic Regurgitation in Transcatheter Aortic Valve Replacement Era
作者:
陈阳 赵庆豪 赵杰 吴永健
(北京协和医学院 国家心血管病中心 中国医学科学院阜外医院 心内科,北京 100037)
Author(s):
CHEN Yang1; ZHAO Qinghao1;  SONG Guangyuan2;  WU Yongjian1
(1.Department of Cardiology,Fuwai Hospital,National Center for Cardiovascular Disease,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100037,China; 2. Heart Valve Intervention Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)
关键词:
主动脉瓣反流; 多维度评估; 外科主动脉瓣置换术; 经导管主动脉瓣置换术
Keywords:
Aortic regurgitation; Multidimensional evaluation; Surgical aortic valve replacement; Transcatheter aortic valve replacement
DOI:
10.16806/j.cnki.issn.1004-3934.2022.01.001
摘要:
慢性主动脉瓣反流无症状期长，晚期预后差，最佳干预时机尚不明确。目前干预指征主要依据于症状和超声心动图的左室功能和扩张程度，而新影像学评估（磁共振、超声心动图新参数和计算机断层扫描评估等）及生物标志物可优化治疗决策。主动脉瓣反流患者药物治疗效果有限，不能替代或延迟手术治疗。目前大多数主动脉瓣反流患者仍首选外科主动脉瓣置换术，而经导管主动脉瓣置换术可用于外科高危患者。
Abstract:
Chronic aortic regurgitation(AR) has a long asymptomatic period and poor prognosis in the late stage,and the best time for intervention is not clear. At present,the intervention indications are mainly based on the symptoms and the left ventricular function and expansion degree of echocardiography,and new imaging evaluation(magnetic resonance,new echocardiographic parameters and computed tomography evaluation) and biomarkers can optimize treatment decision-making. The effect of drug treatment in AR patients is limited and cannot replace or delay the surgical treatment. At present,surgical aortic valve replacement is still the first choice for most AR patients,and transcatheter aortic valve replacement can be used for high-risk surgical patients.

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更新日期/Last Update: 2022-02-16