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简化主动脉瓣狭窄分级及基于超声心动图的分期以优化管理的建议。

A proposal of a simplified grading and echo-based staging of aortic valve stenosis to streamline management.

作者信息

Kardos Attila, Vannan Mani A

机构信息

Department of Cardiology, Translational Cardiovascular Research Group, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.

Faculty of Medicine and Health Sciences, University of Buckingham, Buckingham, UK.

出版信息

Echo Res Pract. 2024 Nov 4;11(1):29. doi: 10.1186/s44156-024-00064-x.

DOI:10.1186/s44156-024-00064-x
PMID:39490994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11533394/
Abstract

In this paper we discuss the relevance of continuity equation based aortic valve area (AVA) calculation as a robust parameter suitable for accurate grading of aortic stenosis (AS) irrespective of flow conditions. Combining the AVA-based grading and echocardiography-based staging, can provide with the most comprehensive clinical assessment of patients with AS and preserved left ventricular systolic function to streamline management decisions.

摘要

在本文中，我们讨论了基于连续性方程的主动脉瓣面积（AVA）计算作为一个稳健参数的相关性，该参数适用于准确分级主动脉瓣狭窄（AS），而不受血流条件的影响。将基于AVA的分级与基于超声心动图的分期相结合，可以为患有AS且左心室收缩功能保留的患者提供最全面的临床评估，以优化管理决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/e4f5aae57f89/44156_2024_64_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/3c00cde88506/44156_2024_64_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/e947c36547e7/44156_2024_64_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/e4f5aae57f89/44156_2024_64_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/3c00cde88506/44156_2024_64_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/e947c36547e7/44156_2024_64_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2308/11533394/e4f5aae57f89/44156_2024_64_Fig2_HTML.jpg

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本文引用的文献

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Int J Cardiol. 2022 Sep 15;363:129-137. doi: 10.1016/j.ijcard.2022.06.018. Epub 2022 Jun 16.
2
Prognostic Implications of Associated Cardiac Abnormalities Detected on Echocardiography in Patients With Moderate Aortic Stenosis.超声心动图检查发现中重度主动脉瓣狭窄患者合并心脏异常的预后意义。
JACC Cardiovasc Imaging. 2021 Sep;14(9):1724-1737. doi: 10.1016/j.jcmg.2021.04.009. Epub 2021 May 19.
3
A pairwise meta-analytic comparison of aortic valve area determined by planimetric versus hemodynamic methods in aortic stenosis.在主动脉瓣狭窄中，通过平面测量法与血流动力学方法测定的主动脉瓣面积的成对荟萃分析比较。
Int J Cardiol. 2021 Jan 1;322:77-85. doi: 10.1016/j.ijcard.2020.09.003. Epub 2020 Sep 9.
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J Am Soc Echocardiogr. 2020 Aug;33(8):953-963.e5. doi: 10.1016/j.echo.2020.03.020. Epub 2020 Jun 21.
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Aortic valve area using computed tomography-derived correction factor to improve the validity of left ventricular outflow tract measurements.利用计算机断层扫描衍生的校正因子来计算主动脉瓣面积，以提高左心室流出道测量的准确性。
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