主动脉瓣狭窄严重程度评估：多模态方法。
Assessment of Aortic Stenosis Severity: A Multimodality Approach.
机构信息
Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec Heart and Lung Institute, Université Laval, 2725 Chemin Sainte-Foy, Québec City, Québec G1V-4G5, Canada; Cardiology Department, Expert Valve Center, Henri Mondor Hospital, 51 Avenue du Maréchal de Lattre de Tassigny, Créteil 94000, France; INSERM Unit U955, Team 8, Paris-Est Creteil University, Val-de-Marne, 51 Avenue du Maréchal de Lattre de Tassigny, Créteil 94000, France.
Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec Heart and Lung Institute, Université Laval, 2725 Chemin Sainte-Foy, Québec City, Québec G1V-4G5, Canada.
出版信息
Cardiol Clin. 2020 Feb;38(1):13-22. doi: 10.1016/j.ccl.2019.09.004.
Severe aortic stenosis (AS) is associated with a progressive cardiac remodeling that ultimately leads to heart failure and death if the valve is not replaced. The confirmation of AS severity is therefore crucial to adequately manage patients with AS. Transthoracic echocardiography is the first-line examination to confirm AS severity, but it may be inconclusive in discordant cases. In this setting, AS severity should be confirmed using a multimodality imaging approach. This review gives an overview of how to assess and/or confirm AS severity, especially in case of discordance.
严重的主动脉瓣狭窄（AS）与进行性心脏重构相关，如果不更换瓣膜，最终会导致心力衰竭和死亡。因此，明确 AS 的严重程度对于充分管理 AS 患者至关重要。经胸超声心动图是确认 AS 严重程度的一线检查，但在不一致的情况下可能无法明确诊断。在这种情况下，应采用多模态影像学方法来确认 AS 的严重程度。本综述概述了如何评估和/或确认 AS 的严重程度，尤其是在不一致的情况下。
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