Karim Sabir Abdul, Helmy Sherif Mahmoud
Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
Department of Non-Invasive Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
Heart Views. 2022 Jan-Mar;23(1):22-32. doi: 10.4103/heartviews.heartviews_32_22. Epub 2022 May 16.
Aortic stenosis (AS) is the most common cardiac valve lesion in the adult population, with an incidence increasing as the population ages. Accurate assessment of AS severity is necessary for clinical decision-making. Echocardiography is currently the diagnostic method of choice for assessing and managing AS. Transthoracic echocardiography is usually sufficient in most situations. Transesophageal echocardiography and stress echocardiography may also be utilized when there is inadequate image quality and/or discordance in the results and the clinical presentation. There is a role for other imaging modalities such as cardiac computed tomography, magnetic resonance imaging, and catheterization in selected cases. The following describes in some detail the role of these modalities in the diagnosis and assessment of AS.
主动脉瓣狭窄(AS)是成年人群中最常见的心脏瓣膜病变,其发病率随着人口老龄化而增加。准确评估AS的严重程度对于临床决策至关重要。超声心动图是目前评估和管理AS的首选诊断方法。在大多数情况下,经胸超声心动图通常就足够了。当图像质量不足和/或结果与临床表现不一致时,也可使用经食管超声心动图和负荷超声心动图。在某些特定病例中,其他成像方式如心脏计算机断层扫描、磁共振成像和心导管检查也发挥着作用。以下将详细描述这些方式在AS诊断和评估中的作用。