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无症状重度主动脉瓣狭窄患者的负荷超声心动图

Stress Echocardiogram in Asymptomatic Severe Aortic Stenosis.

作者信息

Abusweireh Asad I I, Alzaeem Hakam Abdallah

机构信息

Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

出版信息

Heart Views. 2022 Jan-Mar;23(1):33-38. doi: 10.4103/heartviews.heartviews_37_22. Epub 2022 May 16.

DOI:10.4103/heartviews.heartviews_37_22
PMID:35757449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9231544/
Abstract

Aortic stenosis (AS) is one of the most common adult valve diseases. Therefore, current guidelines recommend prompt aortic valve intervention once symptoms occur. However, AS is predominantly a disease of the elderly, and these people may be underreporting their symptoms, have other comorbidities, or have a low level of exertion at the baseline or they might make a subconscious adjustment of their activities. Hence, stress testing can be a vital and objective tool to uncover their symptoms and prognosticate.

摘要

主动脉瓣狭窄（AS）是最常见的成人瓣膜疾病之一。因此，当前指南建议一旦出现症状应立即进行主动脉瓣干预。然而，AS主要是一种老年疾病，这些患者可能未充分报告其症状，存在其他合并症，或基线时运动水平较低，或者他们可能会下意识地调整自己的活动。因此，负荷试验可能是发现他们的症状并进行预后评估的重要且客观的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00dc/9231544/b42820c3cbeb/HV-23-33-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00dc/9231544/b42820c3cbeb/HV-23-33-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00dc/9231544/b42820c3cbeb/HV-23-33-g001.jpg

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本文引用的文献

1
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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Watchful waiting care or early intervention in asymptomatic severe aortic stenosis: Where we are.无症状严重主动脉瓣狭窄的静观等待护理或早期干预：我们所处的位置。
Arch Cardiovasc Dis. 2021 Jan;114(1):59-72. doi: 10.1016/j.acvd.2020.07.002. Epub 2020 Nov 3.
3
Exercise echocardiography in aortic stenosis with preserved ejection fraction.
超声心动图在射血分数保留的主动脉瓣狭窄中的应用。
Anatol J Cardiol. 2020 Jun;23(6):312-317. doi: 10.14744/AnatolJCardiol.2020.76500.
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Aortic Stenosis: Guidelines and Evidence Gaps.主动脉瓣狭窄：指南与证据缺口。
Cardiol Clin. 2020 Feb;38(1):55-63. doi: 10.1016/j.ccl.2019.09.003. Epub 2019 Nov 1.
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Management of Asymptomatic Severe Aortic Stenosis: Evolving Concepts in Timing of Valve Replacement.无症状性重度主动脉瓣狭窄的管理：瓣膜置换时机的不断变化的概念。
JACC Cardiovasc Imaging. 2020 Feb;13(2 Pt 1):481-493. doi: 10.1016/j.jcmg.2019.01.036. Epub 2019 Jun 12.
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Outcomes in Asymptomatic Severe Aortic Stenosis With Preserved Ejection Fraction Undergoing Rest and Treadmill Stress Echocardiography.静息和踏车运动超声心动图检查下射血分数保留的无症状重度主动脉瓣狭窄的转归。
J Am Heart Assoc. 2018 Apr 12;7(8):e007880. doi: 10.1161/JAHA.117.007880.
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Prognostic Value of Exercise-Stress Echocardiography in Asymptomatic Patients With Aortic Valve Stenosis.运动负荷超声心动图对无症状主动脉瓣狭窄患者的预后价值。
JACC Cardiovasc Imaging. 2018 Jun;11(6):787-795. doi: 10.1016/j.jcmg.2017.03.020. Epub 2017 Jul 19.
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Exercise Testing and Stress Imaging in Aortic Valve Disease.主动脉瓣疾病的运动试验与负荷成像
Curr Treat Options Cardiovasc Med. 2017 Jul;19(7):54. doi: 10.1007/s11936-017-0551-5.
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Low-gradient aortic stenosis.低梯度主动脉瓣狭窄
Eur Heart J. 2016 Sep 7;37(34):2645-57. doi: 10.1093/eurheartj/ehw096. Epub 2016 Mar 31.
10
Natural History, Diagnostic Approaches, and Therapeutic Strategies for Patients With Asymptomatic Severe Aortic Stenosis.无症状严重主动脉瓣狭窄患者的自然病史、诊断方法和治疗策略。
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