瓣膜性心脏病的流行病学。
Epidemiology of Valvular Heart Disease.
机构信息
Department of Surgery, Walter Reed National Military Medical Center, 4494 Palmer Road North, Bethesda, MD 20814, USA.
Division of Cardiology, Cardiothoracic Surgery and Heart Center, Washington DC Veterans Affairs Medical Center, 50 Irving Street Northwest, Washington, DC 20422, USA; Department of Surgery, George Washington University Hospital, 900 23rd St NW, Washington, DC 20037, USA.
出版信息
Surg Clin North Am. 2022 Jun;102(3):517-528. doi: 10.1016/j.suc.2022.01.008.
Acquired diseases of the aortic and mitral valves are the most common cause of morbidity and mortality among Valvular heart diseases. Aortic stenosis (AS) is increasing in incidence in the United States (4,43 US), driven largely by an aging demographic. Aortic valve replacement is the only effective treatment of AS and has a dramatic mortality benefit. Mitral valve regurgitation (MR) is the most common form of valvular heart disease (VHD) in the US, whereby MR is most often the result of mitral valve prolapse; rheumatic heart disease (RHD) is a more common etiology of MR in underdeveloped countries. interventions for MR in the US are increasing.
获得性主动脉瓣和二尖瓣疾病是瓣膜性心脏病发病率和死亡率的最常见原因。在美国，主动脉瓣狭窄（AS）的发病率正在上升（4.43 例/每 10 万人），这在很大程度上是由于人口老龄化。主动脉瓣置换术是治疗 AS 的唯一有效方法，可显著降低死亡率。二尖瓣反流（MR）是美国最常见的瓣膜性心脏病（VHD）形式，MR 通常是二尖瓣脱垂的结果；风湿性心脏病（RHD）在欠发达国家更为常见。美国治疗 MR 的干预措施正在增加。
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