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三尖瓣反流是一个公共卫生危机。

Tricuspid regurgitation is a public health crisis.

机构信息

Cardiovascular Department, University of Ottawa, Canada; Cardiovascular Department, University of Tel-Aviv, Israel; Cardiovascular Department, University of Amiens, France.

Cardiovascular Department, University of Ottawa, Canada; Cardiovascular Department, University of Tel-Aviv, Israel; Cardiovascular Department, University of Amiens, France.

出版信息

Prog Cardiovasc Dis. 2019 Nov-Dec;62(6):447-451. doi: 10.1016/j.pcad.2019.10.009. Epub 2019 Nov 9.

Abstract

Tricuspid regurgitation (TR) has long been a forgotten valve disease of benign reputation. However, TR deserves higher attention and represents a growing public health crisis. Indeed, recent epidemiological data suggest that 1.6 million US residents are affected by moderate or severe TR. Furthermore, large recent cohorts demonstrate that higher degrees of TR are associated with considerable excess mortality, independent of all background clinical and hemodynamic contexts. Finally, analysis of recent cohorts also shows that >90% of patients with moderate or severe TR are never offered surgical treatment and remain untreated. Therefore, TR is frequent, severely impacts outcomes, and is rarely treated, justifying the development of new strategies and methods for its treatment.

摘要

三尖瓣反流(TR)长期以来一直是一种被忽视的良性声誉的瓣膜疾病。然而,TR 值得更高的关注,它代表了一个日益严重的公共健康危机。事实上,最近的流行病学数据表明,有 160 万美国居民受到中度或重度 TR 的影响。此外,最近的大型队列研究表明,无论在何种临床和血液动力学背景下,TR 程度越高,死亡率就越高。最后,对最近队列的分析还表明,超过 90%的中度或重度 TR 患者从未接受过手术治疗,也未得到治疗。因此,TR 很常见,严重影响预后,且很少得到治疗,这证明了需要开发新的策略和方法来治疗它。

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