Department of Cardiology, Medical University of Lodz, Kniaziewicza 1/5, 91-347 Lodz, Poland.
BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK.
Eur Heart J Cardiovasc Imaging. 2020 Apr 1;21(4):357-362. doi: 10.1093/ehjci/jeaa009.
Aortic stenosis (AS) is the most prevalent valvular disease in developed countries, with a prevalence that is set to expand further with an ageing population. The most recent guidelines on valvular heart disease published by the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery, aim to standardize the diagnosis and management of valvular heart diseases. The imaging criteria of the current guidelines are mostly based on EACVI Recommendations, with an appropriate diagnostic workflow being of major importance, to ensure streamlined and efficient patient assessment and accurate diagnoses and decisions regarding the timing of surgery. The EACVI Scientific Initiatives Committee, therefore, created a survey on the imaging assessment of patient with AS to investigate the diagnostic patient pathways used in different centres across Europe. In particular, we conducted this survey to better understand the use and access of advanced imaging techniques in AS including 3D transthoracic echocardiography and 3D transoesophageal echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance.
主动脉瓣狭窄（AS）是发达国家最常见的瓣膜病，随着人口老龄化，其患病率还将进一步扩大。欧洲心脏病学会和欧洲心胸外科学会最近发布的瓣膜性心脏病指南旨在规范瓣膜性心脏病的诊断和治疗。当前指南的影像学标准主要基于 EACVI 建议，适当的诊断工作流程非常重要，以确保对患者进行简化、高效的评估，并对手术时机做出准确的诊断和决策。因此，EACVI 科学倡议委员会针对 AS 患者的影像学评估进行了一项调查，以调查欧洲不同中心使用的诊断患者路径。特别是，我们进行这项调查是为了更好地了解 AS 中先进影像学技术的使用和获取情况，包括 3D 经胸超声心动图和 3D 经食管超声心动图、心脏计算机断层扫描和心血管磁共振。
