Kumar Preetham, Aedma Surya, Varadarajan Padmini, Pai Ramdas G
Department of Internal Medicine and Clinical Sciences, University of California Riverside, Riverside, California.
Int J Angiol. 2024 Nov 4;34(1):10-22. doi: 10.1055/s-0044-1790541. eCollection 2025 Mar.
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.
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。