大动脉狭窄和跨导管大动脉植入老年人的大动脉
1BExSc, MD, MMED, Basic Physician Trainee, Royal Hobart Hospital, Hobart, Tas.
Australian journal of general practice
|July 9, 2023
概括
过导管大动脉植入 (TAVI) 是对老年患者严重大动脉狭窄 (AS) 的推治疗方法,改善了生存率和生活质量. 一般医生在患者护理和管理决策中发挥着至关重要的作用.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 干预心脏病学 干预心脏病学
背景情况:
- 严重的大动脉狭窄 (AS) 在澳大利亚老年人中很普遍,如果不治疗,预后不好.
- 过导管大动脉植入 (TAVI) 是适合的严重AS的老年患者推的干预措施.
研究的目的:
- 为老年人群中严重AS的诊断和管理提供当代审查.
主要方法:
- 审查当前文学和临床指导方针严重AS管理.
- 分析治疗选择,包括TAVI,手术性大动脉置换 (SAVR) 和医疗/息治疗.
主要成果:
- 与医学治疗相比,TAVI在老年患者中显示出改善的死亡率,症状缓解和生活质量.
- 在这个人口群体中,TAVI被认为优于SAVR.
结论:
- 在老年人中严重AS的管理决策需要多学科的方法.
- 一般医生对于风险分层,术后护理以及管理不适合干预的患者至关重要.
更多相关视频
12:17Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
11.4K
05:31Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
2.9K
相关概念视频
Aortic Regurgitation III: Medical Management
26
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
26
Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
32
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
32
Mitral Stenosis I: Introduction
18
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
18
Mitral Valve Prolapse II: Assessment and Management
23
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
23
Aortic Regurgitation I: Introduction
18
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
18
