Valvular Heart Disease: Diagnosis and Management
Valvular Heart Disease: Diagnosis and Management
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DOI：
10.4065/mcp.2009.0706
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发表时间：
2010-05-01
影响因子：
8.9
通讯作者：
Bonow, Robert O.
中科院分区：
文献类型：
--
作者：
Maganti, Kameswari;Rigolin, Vera H.;Bonow, Robert O.
瓣膜性心脏病（VHD）包括许多常见的心血管疾病，占美国所有心脏外科手术的10%至20%。更好地了解自然史，加上诊断成像，介入心脏病学和外科手术方法的重大进展，导致准确的诊断和适当的选择患者进行治疗干预。全面了解各种瓣膜疾病对帮助治疗VHD患者很重要。VHD患者的适当检查包括全面的病史以评价病因和症状，通过检查准确评估瓣膜异常的严重程度，适当的诊断测试，以及准确量化瓣膜功能障碍的严重程度和治疗干预（如必要）。同样重要的是要了解治疗干预与疾病自然史在评估结果中的作用。不再推荐预防感染性心内膜炎，除非患者有心内膜炎或人工瓣膜病史。
Valvular heart disease (VHD) encompasses a number of common cardiovascular conditions that account for 10% to 20% of all cardiac surgical procedures in the United States. A better understanding of the natural history coupled with the major advances in diagnostic imaging, interventional cardiology, and surgical approaches have resulted in accurate diagnosis and appropriate selection of patients for therapeutic interventions. A thorough understanding of the various valvular disorders is Important to aid In the management of patients with VHD. Appropriate work-up for patients with VHD includes a thorough history for evaluation of causes and symptoms, accurate assessment of the severity of the valvular abnormality by examination, appropriate diagnostic testing, and accurate quantification of the severity of valve dysfunction and therapeutic interventions, if necessary. It is also Important to understand the role of the therapeutic interventions vs the natural history of the disease in the assessment of outcomes. Prophylaxis for infective endocarditis is no longer recommended unless the patient has a history of endocarditis or a prosthetic valve.