School of Medicine, University College Cork, Cork, Ireland.
Director of Sports Cardiology, Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. E-mail:
Cleve Clin J Med. 2016 Apr;83(4):271-80. doi: 10.3949/ccjm.83a.15069.
Asymptomatic but hemodynamically severe aortic stenosis often poses a dilemma: should the aortic valve be replaced, or is watchful waiting acceptable? Patients with this condition are a diverse group with varying prognoses. Here, we review the guidelines for valve replacement in this situation and highlight the variables useful in establishing which patients should be considered for early intervention even if they have no symptoms.
是否应置换主动脉瓣，还是可接受密切观察？具有此情况的患者是预后不同的多样化群体。在此，我们回顾此情况下瓣膜置换的指南，并强调有助于确定即使无症状也应考虑早期干预的患者的变量。
