Plachá L, Riecanský I
Vnitr Lek. 1989 Jun;35(6):595-602.
Based on many years experience with the diagnosis and treatment of valvular defects in advanced age the authors present a review of the problem with emphasis on non-rheumatic degenerative damage of the cardiac valves and valvular apparatus. They draw attention to the reliability of non-invasive examination methods and prefer their routine use in cardiological geriatric practice. As regards therapeutic procedures, they draw attention to more progressive methods of treatment of valvular defects in old age such as percutaneous, transluminal balloon valvuloplasty of the aortic valve, open valvuloplasty of the mitral valve and replacement of damaged valves by prostheses, in particular biological ones. Finally the authors stress the importance of investigations of the pathology and clinical aspects of valvular diseases in old age as one of the ways of careful preparation for better health care of old people in future.
基于多年来对高龄患者瓣膜缺损的诊断和治疗经验，作者对该问题进行了综述，重点关注心脏瓣膜和瓣膜装置的非风湿性退行性损害。他们提请注意非侵入性检查方法的可靠性，并倾向于在老年心脏病学实践中常规使用这些方法。关于治疗程序，他们提请注意老年瓣膜缺损的更先进治疗方法，如经皮腔内主动脉瓣球囊成形术、二尖瓣直视成形术以及用假体，特别是生物假体置换受损瓣膜。最后，作者强调研究老年瓣膜疾病的病理学和临床方面的重要性，认为这是未来为老年人提供更好医疗保健进行精心准备的途径之一。
