摘要
主动脉瓣狭窄(AS)是成年人中常见而严重的心脏病,其发病率随年龄的增长而增加(2%〉65岁/年,3%〉75岁/年,4%〉85岁/年)。施行瓣膜置换手术是惟一有效的治疗。中度至重度主动脉瓣狭窄的病人,出现症状后,2年的存活率为50%,5年的存活率仅为20%。因此,这类病人一旦出现症状应及时手术。
出处
《中国医刊》
CAS
2012年第3期33-35,共3页
Chinese Journal of Medicine
参考文献9
-
1Lester SJ, Hilbron B, Gin K, et al. The natural history and rate of progression of aortic stenosis[ J]. Chest, 1998, 113:1109 - 1114. 被引量:1
-
2Iung B, Cachier A, Baron G, et al. Decision-making in elderly pa- tients with severe aortic stenosis: Why are so many denied surgery [J]. Eur Heart J, 2005,26: 2714 -2720. 被引量:1
-
3Cribier A, Eltchaninoff H, Bash A, et al. Percutaneous transcathe- ter implantation of an aortic valve prosthesis for calcific aortic steno- sis: First human case description [ J ]. Circulation, 2002, 106 : 3006 - 3008. 被引量:1
-
4Webb JG, Altwegg L, Boone RH, et al. Transcatheter aortic valve implantation: Impact on clinical and valve-related outcomes [ J ]. Circulation, 2009,119:3009 - 3016. 被引量:1
-
5Piazza N, Grube E, Gerckens U, et al. Procedural and 30-day out- comes following transcatheter aortic valve implantation using the third generation ( 18 fr) corevalve revalving system: Results from the mul- ticentre, expanded evaluation registry 1-year following ce mark ap- proval[J]. EuroIntervention, 2008,4: 242 -249. 被引量:1
-
6Zahn R, Gerckens U, Grube E, et al. Transcatheter aortic valve im- plantation: First results from a muhi-centre real-world registry [ J ]. Eur Heart J, 2011,32: 198 -204. 被引量:1
-
7Smith CR, Leon MS, Mack MJ et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients [ J ]. N Engl J Med, 2011,364: 2187 -2198. 被引量:1
-
8Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve im- plantation for aortic stenosis in patients who cannot undergo surgery [J] N Engl J Med, 2010, 363:1597 -1607. 被引量:1
-
9Stem A. Tunick PA, Culliford AT, et al. Protruding aortic arch ath- eromas: risk of stroke during heart surgery with and without aortic arch endarterectomy [ J]. Am Heart J, 1999,138:746 - 752. 被引量:1
同被引文献79
-
1Gerald P McCann,W Stewart Hillis,单月宏.无症状主动脉瓣狭窄的外科治疗运动试验是关键的检查[J].英国医学杂志中文版,2004,7(6):328-329. 被引量:1
-
2McCann GP, Steadman CD, Ray SG, et al. Managing the asympto- matic patient with severe aortic stenosis: randomized controlled trials of early surgery are overdue [J]. Heart, 2011, 97(14) :1119- 1121. 被引量:1
-
3Nkomo VT, Garclin JM, Skehon TN, et al. Burden of valvular heart diseases: a population- based study [ J ]. Lancet, 2006, 368 (9540) :1005-1011. 被引量:1
-
4Lindmos M, Kupari M, Hcikkila J, ct al. Prevalence of aortic valve abnormalities in the elderly: an echocardiographic study of a random population sample [ J]. J Am Coll Cardiol, 1993, 21 (5) : 1220- 1225. 被引量:1
-
5Dal-Bianco JP, Khandheria BK, Mookadam F, et aL Management of asymptomatic severe aortic stenosis [ J ]. J Am Coil Cardiol, 2008, 52(6) :1279-1292. 被引量:1
-
6Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guide- line for the management of patients with valvular heart disease : a re- port of the American College of Cardiology/American Heart Associa- tion task force on practice guidelines[J]. J Am Coil Cardiol, 2014, 63 (22) :2438-2488. 被引量:1
-
7Vahanian A, Alfieri O, Andreotti F, et al. Guidelines on the man- agement of valvular heart disease ( version 2012 ) : the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Car- dio- Thoracic Surgery ( EACTS ) [ J ]. G Ital Cardiol ( Rome ) , 2012, 14(3) :167-214. 被引量:1
-
8Malouf JF, Enriquez-Sarano M, Pellikka PA, et al. Severe pulmo- nary hypertension in patients with severeaortic valve stenosis : clinical profile and prognostic implications [ J ]. J Am Coil Cardiol, 2002, 40(4) :789-795. 被引量:1
-
9Rosenhek R, Binder T, Porenta G, et al. Predictors of outcome in severe, asymptomatic aortic stenosis [ J ]. N Engl J Med, 2000, 343 (9) :611-617. 被引量:1
-
10Amato MC, Moffa P J, Wemer KE, et al. Treatment decision in- asymptomatie aortic stenosis : role of exercise testing [ J ]. Heart, 2001,86(4) :381-386. 被引量:1
引证文献4
-
1何喆,吴永健.无症状重度主动脉瓣狭窄研究现状[J].中国医刊,2015,50(1):1-8. 被引量:1
-
2王建安,刘先宝.经导管主动脉瓣膜置人术的现状[J].中国医刊,2015,50(1):15-16. 被引量:1
-
3陈茂,冯沅,赵振刚,黄德嘉.经导管主动脉瓣置入术的重要临床试验及解析[J].中国医刊,2015,50(1):17-20. 被引量:2
-
4李柳,郑庆厚,赵欢,王乐,刘刚,王硕.应用心肺运动试验评价经导管主动脉瓣置换术在无症状主动脉瓣重度狭窄患者中的疗效[J].临床心血管病杂志,2024,40(4):307-311.
二级引证文献4
-
1张昱,吕红,陈雷.儿童主动脉瘤切除人工血管置换术的麻醉处理[J].中国医刊,2017,52(5):69-71.
-
2王圣,程兆云,周胜凯,赵亮.经导管主动脉瓣置入技术的现状及进展研究[J].中国老年保健医学,2017,15(4):72-74. 被引量:1
-
3高健萱,张恒.经导管主动脉瓣置入术治疗老年退行性心脏瓣膜病研究进展[J].蚌埠医学院学报,2019,44(2):279-280. 被引量:3
-
4李岩锋,王汇芬.256层螺旋CT在主动脉瓣膜病变TAVI术前筛查中的应用[J].中国民康医学,2019,31(10):112-113.
-
1贾宝成,李长生.风湿性心脏瓣膜病术前房颤患者心功能变化[J].吉林医学,2003,24(3):203-203.
-
2苏彩霞,王焱,刘兴华.瓣膜置换患者围手术期的护理[J].中国实用医药,2008,3(26):149-149.
-
3张海宁.世界华人消化杂志现状及未来发展的目标[J].世界华人消化杂志,2006,14(23):2261-2262.
-
4熊建华,邹良健.瓣膜病合并糖尿病的围手术期治疗[J].赣南医学院学报,2005,25(4):512-512.
-
5夏鹏.亚急性感染性心内膜炎瓣膜置换术后并发恶性心律失常1例报告[J].西安交通大学学报(医学版),2005,26(1):96-96.
-
6刘茹,高玲.糖尿病性黄斑水肿的治疗进展[J].国际眼科杂志,2007,7(2):489-492. 被引量:8
-
7王利勤,杨洁红,张宇燕,周惠芬,余王琴.中药治疗慢性心衰的作用机制研究进展和前景[J].江西中医药大学学报,2015,27(5):108-111. 被引量:9
-
8李蕾,杨恒,骆宏.重症换瓣病人依托咪酯麻醉诱导对血流动力学的影响[J].皖南医学院学报,2013,32(4):330-331. 被引量:4
-
9陆志斌,陈亦江,吴延虎,陈亮.心房组织中5-HT_4受体亚型mRNA的变化与房颤发生与维持[J].南京医科大学学报(自然科学版),2009,29(5):678-681. 被引量:1
-
10张亦南,朱昭琼.舒芬太尼对心脏瓣膜置换手术患者心肌损伤的影响[J].中国医药指南,2013,11(21):278-280.