最近关于无症状和症状的大动脉狭窄症的最新更新,其诊断,发病,管理和未来的前景
Bhushan Sandeep1, Xian Liu1, Qinghui Wu1
1Department of Cardio-Thoracic Surgery, Chengdu Second People's Hospital, Chengdu, Sichuan 610017, China.
Current problems in cardiology
|May 10, 2024
概括
大动脉狭窄 (AS) 是老年人常见的疾病,影响生存. 本综述详细介绍了AS的诊断,原因和治疗方法,强调了需要更好的预防性治疗方法.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 老年病的医生 老年病的医生
背景情况:
- 大动脉狭窄 (AS) 在老年人群中非常普遍,显著影响患者的生存率.
- 这种疾病的死亡率很高,需要对其各个方面有全面的了解.
研究的目的:
- 系统地审查诊断方法,发病率,原因,病原和症状和无症状大动脉狭窄的管理策略.
- 确定AS研究和临床实践当前的差距和未来的前景.
主要方法:
- 在PubMed,Scopus和CINAHL数据库中进行了系统的文献搜索.
- 关键词包括"大动脉狭窄"",诊断标准"",发病"",AS的发生率和原因"",干预和管理策略".
- 选择了45篇符合严格纳入标准的文章来评估AS.
主要成果:
- 在审查的研究中,AS的发病率在3%至7%之间.
- 确定的主要风险因素包括大动脉结石化,风湿性心脏病,退行性大动脉疾病和双大动脉.
- 通过诸如大动脉根化体积等因素,可以预测AS的进展.
结论:
- 对AS的干预和管理决策需要仔细考虑多个患者特异性的因素.
- 目前药物治疗减缓AS进展的进展仍然有限,这表明需要进一步研究预防策略.
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