无症状主动脉瓣狭窄中心脏损伤的分期与预后：早期手术可能并非对所有人都有益。 - Suppr

Staging Cardiac Damage and Prognosis in Asymptomatic Aortic Stenosis: Early Surgery Might Not Benefit All.

作者信息

Sevilla Teresa, Gil-Fernández Jose Francisco, Candela-Ferre Jordi, Rojas-Lavado Gino, González-Bartol Esther, Revilla-Orodea Ana, Gómez-Salvador Itziar, San Román J Alberto

机构信息

Department of Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red, CIBER CV, Madrid, Spain.

Department of Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.

出版信息

J Am Soc Echocardiogr. 2023 Jan;36(1):121-123. doi: 10.1016/j.echo.2022.10.018. Epub 2022 Nov 1.

DOI:10.1016/j.echo.2022.10.018

PMID:36332802

Abstract

摘要

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Staging Cardiac Damage and Prognosis in Asymptomatic Aortic Stenosis: Early Surgery Might Not Benefit All.无症状主动脉瓣狭窄中心脏损伤的分期与预后：早期手术可能并非对所有人都有益。

J Am Soc Echocardiogr. 2023 Jan;36(1):121-123. doi: 10.1016/j.echo.2022.10.018. Epub 2022 Nov 1.

Rationale and design of the randomized, controlled Early Valve Replacement Guided by Biomarkers of Left Ventricular Decompensation in Asymptomatic Patients with Severe Aortic Stenosis (EVOLVED) trial.随机、对照的早期瓣膜置换指导下的生物标志物在无症状严重主动脉瓣狭窄患者左心室失代偿的研究（EVOLVED）的原理和设计。

Am Heart J. 2019 Jun;212:91-100. doi: 10.1016/j.ahj.2019.02.018. Epub 2019 Mar 15.

How Should Very Severe Aortic Stenosis Be Defined in Asymptomatic Individuals?严重主动脉瓣狭窄的无症状个体应如何定义？

J Am Heart Assoc. 2019 Feb 5;8(3):e011724. doi: 10.1161/JAHA.118.011724.

Aortic stenosis. Clinical evaluation and optimal timing of surgery.主动脉瓣狭窄。临床评估与手术的最佳时机

Cardiol Clin. 1998 Aug;16(3):353-73, vii. doi: 10.1016/s0733-8651(05)70020-5.

[Classification of stages of severe aortic stenosis based on the prevalence of extravalvular heart damage].

Kardiologiia. 2021 Feb 10;61(1):98-103. doi: 10.18087/cardio.2021.1.n1024.

Should severe aortic stenosis be operated on before symptom onset? Aortic valve replacement should be operated on before symptom onset.重度主动脉瓣狭窄应在症状出现前进行手术吗？主动脉瓣置换术应在症状出现前进行。

Circulation. 2012 Jul 3;126(1):112-7. doi: 10.1161/CIRCULATIONAHA.111.079350.

Great debate: all patients with asymptomatic severe aortic stenosis need valve replacement.激烈辩论：所有无症状重度主动脉瓣狭窄患者均需进行瓣膜置换。

Eur Heart J. 2023 Sep 1;44(33):3136-3148. doi: 10.1093/eurheartj/ehad355.

[Assessment and management of aortic stenosis].

Rev Med Suisse. 2011 Aug 31;7(306):1606-11.

Meta-Analysis of Aortic Valve Replacement in Asymptomatic Patients With Severe Aortic Stenosis.无症状重度主动脉瓣狭窄患者主动脉瓣置换术的荟萃分析

Am J Cardiol. 2022 Apr 1;168:174-176. doi: 10.1016/j.amjcard.2022.01.003. Epub 2022 Feb 4.

Cost-effectiveness of the Edwards SAPIEN transcatheter heart valve compared with standard management and surgical aortic valve replacement in patients with severe symptomatic aortic stenosis: a Canadian perspective.经导管主动脉瓣置换术治疗严重症状性主动脉瓣狭窄患者的成本效益：从加拿大角度评估爱德华兹 SAPIEN 经导管心脏瓣膜与标准治疗及外科主动脉瓣置换术的比较。

J Thorac Cardiovasc Surg. 2013 Jul;146(1):52-60.e3. doi: 10.1016/j.jtcvs.2012.06.018. Epub 2012 Jul 11.

引用本文的文献

Clinical Outcomes According to Aortic Stenosis Management: Insights From Real-World Practice.临床结局与主动脉瓣狭窄管理：真实世界实践的启示。

J Am Heart Assoc. 2024 Nov 19;13(22):e036657. doi: 10.1161/JAHA.124.036657. Epub 2024 Nov 15.

J Clin Med. 2024 Oct 24;13(21):6359. doi: 10.3390/jcm13216359.

Cardiac Damage Staging Predicts Outcomes in Aortic Valve Stenosis After Aortic Valve Replacement: Meta-Analysis.心脏损伤分期可预测主动脉瓣置换术后主动脉瓣狭窄的预后：一项荟萃分析。

JACC Adv. 2024 May 22;3(5):100959. doi: 10.1016/j.jacadv.2024.100959. eCollection 2024 May.

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Staging Cardiac Damage and Prognosis in Asymptomatic Aortic Stenosis: Early Surgery Might Not Benefit All.

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