射血分数保留的低梯度重度主动脉瓣狭窄：我们应多快采取行动？ - Suppr

Low-gradient severe aortic stenosis with preserved ejection fraction: how fast should we act?

作者信息

Strachinaru Mihai, Van Mieghem Nicolas M

机构信息

Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Postbus 2040, 300 CA, Rotterdam, The Netherlands.

出版信息

Int J Cardiovasc Imaging. 2021 Nov;37(11):3177-3180. doi: 10.1007/s10554-021-02396-9. Epub 2021 Sep 17.

DOI:10.1007/s10554-021-02396-9

PMID:34533650

Abstract

摘要

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Low-gradient severe aortic stenosis with preserved ejection fraction: how fast should we act?射血分数保留的低梯度重度主动脉瓣狭窄：我们应多快采取行动？

Int J Cardiovasc Imaging. 2021 Nov;37(11):3177-3180. doi: 10.1007/s10554-021-02396-9. Epub 2021 Sep 17.

Dimensionless Index in Patients With Low-Gradient Severe Aortic Stenosis and Preserved Ejection Fraction.低梯度重度主动脉瓣狭窄伴射血分数保留患者的无维度指数。

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Outcomes of surgical aortic valve replacement for severe aortic stenosis: Incorporation of left ventricular systolic function and stroke volume index.重度主动脉瓣狭窄患者行外科主动脉瓣置换术的结局：纳入左心室收缩功能和每搏量指数

J Thorac Cardiovasc Surg. 2015 Jun;149(6):1558-66.e1. doi: 10.1016/j.jtcvs.2015.03.008. Epub 2015 Mar 11.

Impact of Mean Transaortic Pressure Gradient on Long-Term Outcome in Patients With Severe Aortic Stenosis and Preserved Left Ventricular Ejection Fraction.平均跨主动脉压力梯度对重度主动脉瓣狭窄且左心室射血分数保留患者长期预后的影响

J Am Heart Assoc. 2017 Jun 1;6(6):e005850. doi: 10.1161/JAHA.117.005850.

Risk Stratification of Severe Aortic Stenosis With Preserved Left Ventricular Ejection Fraction Using Peak Aortic Jet Velocity: An Outcome Study.使用主动脉峰值射流速度对左心室射血分数保留的严重主动脉瓣狭窄进行风险分层：一项结局研究。

Circ Cardiovasc Imaging. 2017 Oct;10(10). doi: 10.1161/CIRCIMAGING.117.006760.

Use of Impella Support in Transcatheter Aortic Valve Replacement for a Patient With Severe Aortic Stenosis and Significantly Reduced Ejection Fraction.在严重主动脉瓣狭窄且射血分数显著降低的患者经导管主动脉瓣置换术中使用Impella支持装置

J Cardiothorac Vasc Anesth. 2020 Mar;34(3):744-746. doi: 10.1053/j.jvca.2019.09.025. Epub 2019 Sep 24.

Prognostic Value of Low Flow in Patients With High Transvalvular Gradient Severe Aortic Stenosis and Preserved Left Ventricular Ejection Fraction: A Multicenter Study.高跨瓣梯度重度主动脉瓣狭窄伴左心室射血分数保留患者低流量的预后价值：一项多中心研究。

Circ Cardiovasc Imaging. 2019 Oct;12(10):e009299. doi: 10.1161/CIRCIMAGING.119.009299. Epub 2019 Oct 10.

Predictors of Long-Term Outcomes in Asymptomatic Patients With Severe Aortic Stenosis and Preserved Left Ventricular Systolic Function Undergoing Exercise Echocardiography.接受运动超声心动图检查的无症状严重主动脉瓣狭窄且左心室收缩功能保留患者的长期预后预测因素

Circ Cardiovasc Imaging. 2016 Jul;9(7). doi: 10.1161/CIRCIMAGING.116.004689.

Outcome of Flow-Gradient Patterns of Aortic Stenosis After Aortic Valve Replacement: An Analysis of the PARTNER 2 Trial and Registry.主动脉瓣置换术后主动脉瓣狭窄血流梯度模式的结果：PARTNER 2 试验和注册分析。

Circ Cardiovasc Interv. 2020 Jul;13(7):e008792. doi: 10.1161/CIRCINTERVENTIONS.119.008792. Epub 2020 Jul 17.

Clinical outcome and functional characteristics of patients with asymptomatic low-flow low-gradient severe aortic stenosis with preserved ejection fraction are closer to high-gradient severe than to moderate aortic stenosis.射血分数保留的无症状低流量低梯度重度主动脉瓣狭窄患者的临床结局和功能特征更接近于高梯度重度主动脉瓣狭窄患者，而非中度主动脉瓣狭窄患者。

Int J Cardiovasc Imaging. 2018 Apr;34(4):545-552. doi: 10.1007/s10554-017-1264-2. Epub 2017 Nov 9.

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2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020美国心脏病学会/美国心脏协会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告

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Determinants of changes in pulmonary artery pressure in patients with severe aortic stenosis treated by transcatheter aortic valve implantation.经导管主动脉瓣植入术治疗重度主动脉瓣狭窄患者肺动脉压变化的影响因素。

Acta Cardiol. 2021 Apr;76(2):185-193. doi: 10.1080/00015385.2019.1708599. Epub 2020 Jan 10.

Paradox of Low-Gradient Aortic Stenosis.低梯度主动脉瓣狭窄的矛盾现象

Circulation. 2019 May 7;139(19):2195-2197. doi: 10.1161/CIRCULATIONAHA.118.038252.

Predictors of Mortality and Symptomatic Outcome of Patients With Low-Flow Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术治疗低流量重度主动脉瓣狭窄患者的死亡率和症状转归的预测因素。

J Am Heart Assoc. 2018 Apr 13;7(8):e007977. doi: 10.1161/JAHA.117.007977.

Impact of low stroke volume on mortality in patients with severe aortic stenosis and preserved left ventricular ejection fraction.严重主动脉瓣狭窄并保留左心室射血分数患者的低心输出量对死亡率的影响。

Eur Heart J. 2018 Jun 1;39(21):1992-1999. doi: 10.1093/eurheartj/ehy123.

Effects of Aortic Valve Replacement on Severe Aortic Stenosis and Preserved Systolic Function: Systematic Review and Network Meta-analysis.主动脉瓣置换术对严重主动脉瓣狭窄和收缩功能保留的影响：系统评价和网络荟萃分析。

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Systemic hypertension in low-gradient severe aortic stenosis with preserved ejection fraction.射血分数保留的低梯度重度主动脉瓣狭窄中的系统性高血压。

Circulation. 2013 Sep 17;128(12):1349-53. doi: 10.1161/CIRCULATIONAHA.113.003071. Epub 2013 Aug 16.

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Low-gradient severe aortic stenosis with preserved ejection fraction: how fast should we act?

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