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老年人二尖瓣疾病的诊断与管理

Diagnosis and Management of Mitral Valve Disease in the Elderly.

作者信息

Kumar Preetham, Aedma Surya, Varadarajan Padmini, Pai Ramdas G

机构信息

Department of Internal Medicine and Clinical Sciences, University of California Riverside, Riverside, California.

出版信息

Int J Angiol. 2024 Nov 4;34(1):10-22. doi: 10.1055/s-0044-1790541. eCollection 2025 Mar.

DOI:10.1055/s-0044-1790541
PMID:39944150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11813618/
Abstract

Calcific mitral stenosis, commonly seen in the elderly in developed countries, occurs primarily due to mitral annular calcification, and its prevalence is increasing secondary to an aging population. Mitral regurgitation, commonly seen across all age groups, occurs primarily due to anatomical or functional impairment of one or more components of the mitral apparatus or the left ventricle that are necessary for normal valve function, and its prevalence is increasing secondary to an increasing number of patients with heart failure. The current review discusses the diagnosis of and treatment options (medical, surgical, and transcatheter) for mitral valve disease, including the associated challenges, specifically in the elderly.

摘要

钙化性二尖瓣狭窄常见于发达国家的老年人,主要由二尖瓣环钙化引起,其患病率因人口老龄化而呈上升趋势。二尖瓣反流可见于所有年龄组,主要是由于二尖瓣装置或左心室中对正常瓣膜功能至关重要的一个或多个组成部分的解剖或功能受损所致,其患病率因心力衰竭患者数量增加而呈上升趋势。本综述讨论了二尖瓣疾病的诊断及治疗选择(药物、手术和经导管治疗),包括相关挑战,特别是在老年人中的挑战。

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本文引用的文献

1
Mitral Valve Dysfunction in Patients With Annular Calcification: JACC Review Topic of the Week.瓣环钙化患者的二尖瓣功能障碍:JACC 本周综述专题。
J Am Coll Cardiol. 2022 Aug 16;80(7):739-751. doi: 10.1016/j.jacc.2022.05.032.
2
2021 ESC/EACTS Guidelines for the management of valvular heart disease.2021年欧洲心脏病学会/欧洲心胸外科学会瓣膜性心脏病管理指南。
Eur Heart J. 2022 Feb 12;43(7):561-632. doi: 10.1093/eurheartj/ehab395.
3
Role of Cardiac CT in Pre-Procedure Planning for Transcatheter Mitral Valve Replacement.心脏 CT 在经导管二尖瓣置换术术前规划中的作用。
JACC Cardiovasc Imaging. 2021 Aug;14(8):1571-1580. doi: 10.1016/j.jcmg.2020.12.018. Epub 2021 Apr 14.
4
A Novel Assessment Using Projected Transmitral Gradient Improves Diagnostic Yield of Doppler Hemodynamics in Rheumatic and Calcific Mitral Stenosis.应用经二尖瓣口血流传播速度梯度评估提高风湿性和钙化性二尖瓣狭窄多普勒血流动力学诊断率的新方法。
JACC Cardiovasc Imaging. 2021 Mar;14(3):559-570. doi: 10.1016/j.jcmg.2020.12.013. Epub 2021 Feb 10.
5
Comparison of Clinical Characteristics, Natural History and Predictors of Disease Progression in Patients With Degenerative Mitral Stenosis Versus Rheumatic Mitral Stenosis.退行性二尖瓣狭窄与风湿性二尖瓣狭窄患者的临床特征、自然史和疾病进展预测因素的比较。
Am J Cardiol. 2021 Mar 15;143:118-124. doi: 10.1016/j.amjcard.2020.12.026. Epub 2020 Dec 31.
6
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020 ACC/AHA 瓣膜性心脏病患者管理指南:执行摘要:美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。
Circulation. 2021 Feb 2;143(5):e35-e71. doi: 10.1161/CIR.0000000000000932. Epub 2020 Dec 17.
7
Mitral Valve Regurgitation in the Contemporary Era: Insights Into Diagnosis, Management, and Future Directions.当代二尖瓣反流:诊断、治疗和未来方向的新见解。
JACC Cardiovasc Imaging. 2018 Apr;11(4):628-643. doi: 10.1016/j.jcmg.2018.01.009.
8
Early Outcomes of Percutaneous Transvenous Transseptal Transcatheter Valve Implantation in Failed Bioprosthetic Mitral Valves, Ring Annuloplasty, and Severe Mitral Annular Calcification.经皮经静脉经房间隔穿刺导管二尖瓣瓣中生物瓣置换、瓣环成形术和严重二尖瓣瓣环钙化失败后的早期结果。
JACC Cardiovasc Interv. 2017 Oct 9;10(19):1932-1942. doi: 10.1016/j.jcin.2017.08.014.
9
Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance.原发性瓣膜反流的非侵入性评估建议:美国超声心动图学会与心血管磁共振学会合作制定的报告
J Am Soc Echocardiogr. 2017 Apr;30(4):303-371. doi: 10.1016/j.echo.2017.01.007. Epub 2017 Mar 14.
10
The Course of Ischemic Mitral Regurgitation in Acute Myocardial Infarction After Primary Percutaneous Coronary Intervention: From Emergency Room to Long-Term Follow-Up.直接经皮冠状动脉介入治疗后急性心肌梗死患者缺血性二尖瓣反流的病程:从急诊室到长期随访
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