Palliative Care Issues in Aortic Stenosis #467.
Palliative Care Issues in Aortic Stenosis #467.
复制标题
主动脉瓣狭窄的姑息治疗问题
DOI：
10.1089/jpm.2023.0388
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发表时间：
2023
影响因子：
2.8
通讯作者：
Bekelman,DavidB
中科院分区：
文献类型：
--
作者：
Paek,Michelle;Rinderle,Travis;Resnick,Rachel;Bekelman,DavidB
背景动脉狭窄(AS)是心脏瓣膜病的一种常见形式，根据心脏试验(如超声心动图)进行分级。重度AS以主动脉瓣面积≤1 cm2、平均跨主动脉压差≥40 mm Hg、主动脉峰值血流速度≥4 m/S为标准。尽管主动脉瓣置换术的成功率有所提高，但仍存在解剖困难、功能状态和合并并发症等局限性。1这篇快速事实讨论了重症AS的发病轨迹和重症AS的治疗选择。
BackgroundAortic stenosis (AS) is a common form of valvular heart disease that is graded based on cardiac testing (eg, echocardiogram). Severe AS is defined by aortic valve area≤ 1 cm 2, mean transaortic pressure gradient≥ 40 mmHg, and peak aortic jet velocity≥ 4 m/s. Despite improvements in access to aortic valve replacement (AVR), limitations to AVR such as difficult anatomy, functional status, and comorbidities remain common. 1 This Fast Fact discusses the illness trajectory of severe AS and the treatment options for severe AS.