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亚太地区心脏瓣膜病流行病学

Epidemiology of Valvular Heart Disease in Asia Pacific Region.

作者信息

So Kent Chak-Yu, Yap Jonathan, Song Guang-Yuan, Poon Karl, Sung Shih-Hsien, Chandavimol Mann, Hayashida Kentaro, Park Duk-Woo, Ewe See-Hooi, Chen Mi, Hei-Tung Chan Vyanne, Iwata Juri, Tangcharoen Tarinee, Tern Paul, Park Han-Su, Alasnag Mirvat, Ohno Yohei, Hon Jimmy Kim Fatt, Bhagwandeen Rohan, Tabata Minoru, Lee Alex Pui-Wai, Jilaihawi Hasan, Wang Dee Dee, Tang Gilbert H L, Lim D Scott, Modine Thomas, Lam Yat-Yin

机构信息

Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, HKSAR, China.

Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS Medical School, Singapore. Electronic address: https://twitter.com/Jonyap88.

出版信息

JACC Asia. 2025 May 3;5(6):718-43. doi: 10.1016/j.jacasi.2025.03.011.

DOI:10.1016/j.jacasi.2025.03.011
PMID:40396937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12287747/
Abstract

Valvular heart disease poses a significant health burden in the Asia-Pacific region, with its epidemiology varying widely across countries caused by diverse socioeconomic and health care situations. Rheumatic heart disease remains prevalent, especially in low- to middle-income areas, while degenerative valvular diseases are emerging in developed regions caused by an aging population. Significant disparities in access to health care and intervention result in variable clinical outcomes. In the past decade, transcatheter interventions have revolutionized the management of patients with valvular heart disease globally. In the Asia-Pacific region, the uptake and development of transcatheter valvular interventions has been slow until recent years. Continued collaboration across the Asia-Pacific region is essential to mitigate the impact of the upcoming surge of valvular heart disease in this diverse and rapidly changing area.

摘要

心脏瓣膜病在亚太地区造成了沉重的健康负担，由于社会经济和医疗保健情况各异，其流行病学在各国之间差异很大。风湿性心脏病仍然普遍存在，尤其是在低收入和中等收入地区，而在发达地区，由于人口老龄化，退行性瓣膜病正在出现。在获得医疗保健和干预措施方面存在显著差异，导致临床结果各不相同。在过去十年中，经导管干预彻底改变了全球心脏瓣膜病患者的治疗方式。在亚太地区，直到近年来，经导管瓣膜干预的应用和发展一直很缓慢。在这个多样化且迅速变化的地区，亚太地区持续开展合作对于减轻即将到来的心脏瓣膜病激增的影响至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/9a02d8e357a1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2bdbb671f07c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2bdbb671f07c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2410b4309b7d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0d4e8ac0f810/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0782ea1b8e1c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/56734da09d14/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0279393ba360/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/c28a63146b86/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/9a02d8e357a1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2bdbb671f07c/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2bdbb671f07c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/2410b4309b7d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0d4e8ac0f810/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0782ea1b8e1c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/56734da09d14/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/0279393ba360/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/c28a63146b86/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1573/12287747/9a02d8e357a1/gr7.jpg

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[1]
Epidemiology of Valvular Heart Disease in Asia Pacific Region.

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[7]
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[8]
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[10]
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本文引用的文献

[1]
Current Status of Tricuspid Valve Interventions in Asia Pacific Region.

JACC Asia. 2025-3

[2]
Asian Pacific Society of Cardiology Position Statement on the Use of Transcatheter Aortic Valve Implantation in the Management of Aortic Stenosis.

JACC Asia. 2024-11-1

[3]
Mid-Term Outcomes of K-Clip Transcatheter Tricuspid Annuloplasty System in Patients With Severe Functional Tricuspid Regurgitation.

JACC Cardiovasc Interv. 2024-12-9

[4]
1-Year Outcomes of Fourth-Generation Mitral Transcatheter Edge-to-Edge Repair in Japan From the EXPAND G4 Study.

JACC Asia. 2024-9-24

[5]
Asymmetrical Expansion of Balloon-Expandable Transcatheter Aortic Valve Prostheses: Implications for Valve Hemodynamic and Clinical Outcomes.

JACC Cardiovasc Interv. 2024-9-9

[6]
Nationwide Birth Prevalence of Crucial Congenital Heart Defects From 2014 to 2018 in Korea.

Korean Circ J. 2024-12

[7]
Comparing outcomes of transcatheter tricuspid valve replacement and medical therapy for symptomatic severe tricuspid regurgitation: a retrospective study.

Eur J Med Res. 2024-8-5

[8]
Performance of Purpose-Built vs Off-Label Transcatheter Devices for Aortic Regurgitation: The PURPOSE Study.

JACC Cardiovasc Interv. 2024-7-8

[9]
Structural Heart Imaging Using 3-Dimensional Intracardiac Echocardiography: JACC: Cardiovascular Imaging Position Statement.

JACC Cardiovasc Imaging. 2025-1

[10]
Global epidemiology of heart failure.

Nat Rev Cardiol. 2024-10

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