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有症状的主动脉瓣狭窄患者的抑郁状态可预测经导管主动脉瓣植入术后3年死亡率。

Depression in Patients With Symptomatic Aortic Stenosis Predicts 3-Year Mortality After Transcatheter Aortic Valve Implantation.

作者信息

Bäz Laura, Möbius-Winkler Sven, Diab Mahmoud, Schulze P Christian, Dannberg Gudrun, Franz Marcus

机构信息

Department of Internal Medicine I, University Hospital Jena, Jena, Germany.

Department of Cardiac Surgery, Cardiovascular Center Hersfeld-Rotenburg, Fulda, Germany.

出版信息

JACC Adv. 2024 Nov 15;3(12):101389. doi: 10.1016/j.jacadv.2024.101389. eCollection 2024 Dec.

DOI:10.1016/j.jacadv.2024.101389
PMID:39624575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11609447/
Abstract

• Depression, as defined by a HADS-D score ≥8 points, is independently associated with long-term mortality in patients with aortic stenosis undergoing transcatheter aortic valve implantation. • The assessment of depression in patients with aortic stenosis is recommended for individual risk stratification and identification of patients that may potentially benefit from psychological interventions.

摘要

• 根据医院焦虑抑郁量表-抑郁（HADS-D）评分≥8分定义的抑郁症，与接受经导管主动脉瓣植入术的主动脉瓣狭窄患者的长期死亡率独立相关。• 建议对主动脉瓣狭窄患者进行抑郁症评估，以进行个体风险分层，并识别可能从心理干预中潜在获益的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c762/11609447/4cea4e42588f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c762/11609447/f9789c8b93e6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c762/11609447/4cea4e42588f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c762/11609447/f9789c8b93e6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c762/11609447/4cea4e42588f/gr1.jpg

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本文引用的文献

1
Association of Depression and Cognitive Dysfunction With Patient-Centered Outcomes After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后抑郁和认知功能障碍与以患者为中心的结局的关系。
Circ Cardiovasc Interv. 2023 Aug;16(8):e012875. doi: 10.1161/CIRCINTERVENTIONS.123.012875. Epub 2023 Jul 28.
2
Depression and anxiety in elderly patients with severe symptomatic aortic stenosis persistently improves after transcatheter aortic valve replacement (TAVR).老年重度症状性主动脉瓣狭窄患者经经导管主动脉瓣置换术（TAVR）治疗后抑郁和焦虑持续改善。
Int J Cardiol. 2020 Jun 15;309:48-54. doi: 10.1016/j.ijcard.2020.03.021. Epub 2020 Mar 19.
3
Association of Depression With Mortality in Older Adults Undergoing Transcatheter or Surgical Aortic Valve Replacement.
接受经导管或手术主动脉瓣置换术的老年患者中抑郁与死亡率的关系。
JAMA Cardiol. 2018 Mar 1;3(3):191-197. doi: 10.1001/jamacardio.2017.5064.
4
Quality of Life After Transcatheter Aortic Valve Replacement: Prospective Data From GARY (German Aortic Valve Registry).经导管主动脉瓣置换术后的生活质量：来自 GARY（德国主动脉瓣登记处）的前瞻性数据。
JACC Cardiovasc Interv. 2016 Dec 26;9(24):2541-2554. doi: 10.1016/j.jcin.2016.09.050.
5
The validity of the Hospital Anxiety and Depression Scale. An updated literature review.医院焦虑抑郁量表的效度：一项更新的文献综述
J Psychosom Res. 2002 Feb;52(2):69-77. doi: 10.1016/s0022-3999(01)00296-3.