主动脉瓣狭窄的心脏损伤分期在临床中的应用及研究进展Clinical application and research progress of heart injury staging in aortic stenosis
金权,方臻飞
摘要(Abstract):
主动脉瓣狭窄会导致不同程度的心脏结构损伤,大量临床研究证实,严重的心脏结构损伤与重度主动脉瓣狭窄患者的不良预后相关。为进一步了解心脏结构损伤与主动脉瓣狭窄的关系,2017年首次提出了基于超声心动图的心脏损伤分期,用以评估心脏结构损伤的程度及其对主动脉瓣狭窄患者预后的影响,随后被诸多研究不断证实与修订。这一分期系统有助于对主动脉瓣狭窄患者进行风险分层,合理选择手术干预时机,优化治疗策略,进而改善主动脉瓣狭窄患者的预后。本文将从病理生理机制、临床应用场景、长期预后预测价值以及未来发展方向进行阐述。
关键词(KeyWords): 主动脉瓣狭窄;心脏损伤分期;主动脉瓣置换术;预后;研究进展
基金项目(Foundation):
作者(Author): 金权,方臻飞
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