The evaluation of aortic stenosis, how the new guidelines are implemented across Europe: a survey by EACVI
The evaluation of aortic stenosis, how the new guidelines are implemented across Europe: a survey by EACVI
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DOI：
10.1093/ehjci/jeaa009
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发表时间：
2020-04-01
影响因子：
6.2
通讯作者：
Haugaa, Kristina H.
中科院分区：
文献类型：
--
作者：
Michalski, Blazej;Dweck, Marc R.;Haugaa, Kristina H.
主动脉瓣狭窄（AS）是发达国家最常见的瓣膜疾病，随着人口老龄化，患病率将进一步扩大。欧洲心脏病学会和欧洲胸外科协会发布的最新心脏瓣膜病指南旨在规范心脏瓣膜病的诊断和管理。当前指南的成像标准主要基于EACVI建议，适当的诊断工作流程非常重要，以确保简化和有效的患者评估以及准确的诊断和手术时机决策。因此，EACVI科学倡议委员会创建了一项关于AS患者影像学评估的调查，以调查欧洲不同中心使用的诊断患者路径。特别是，我们进行这项调查，以更好地了解先进的成像技术在AS中的使用和访问，包括三维经胸超声心动图和三维经食管超声心动图，心脏计算机断层扫描和心血管磁共振。
Aortic stenosis (AS) is the most prevalent valvular disease in developed countries, with a prevalence that is set to expand further with an ageing population. The most recent guidelines on valvular heart disease published by the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery, aim to standardize the diagnosis and management of valvular heart diseases. The imaging criteria of the current guidelines are mostly based on EACVI Recommendations, with an appropriate diagnostic workflow being of major importance, to ensure streamlined and efficient patient assessment and accurate diagnoses and decisions regarding the timing of surgery. The EACVI Scientific Initiatives Committee, therefore, created a survey on the imaging assessment of patient with AS to investigate the diagnostic patient pathways used in different centres across Europe. In particular, we conducted this survey to better understand the use and access of advanced imaging techniques in AS including 3D transthoracic echocardiography and 3D transoesophageal echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance.