功能性 mitra 反的跨导管治疗选择:哪个设备适合哪些患者?
Stephanie K Tom1, Kanika Kalra1, Emily Perdoncin2
1Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine Atlanta, GA, US.
Interventional cardiology (London, England)
|July 31, 2024
概括
mitra 反 影响全球数百万,特别是老年人. 横导管边缘到边缘修复为手术效果较差时,提供了功能性 mitrale 吐的新治疗选择.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 在全球范围内,心脏膜反是最常见的心脏病,影响超过2400万人.
- 退行性额外外经常受益于手术修复,但功能性额外外 (FMR) 显示传统手术的改善较小.
- FMR是由心房或心室问题引起的,导致门不适当关闭.
研究的目的:
- 审查目前的功能性 mitrale 吐 (FMR) 的透导管治疗选择.
- 突出FMR微侵袭性导管治疗的新兴作用.
主要方法:
- 审查现有关于跨导管美肌修复和更换技术的文献.
- 专注于跨导管边缘到边缘修复作为美国目前批准的FMR治疗方法.
主要成果:
- 透导管技术的目的是复制手术结果,以表回.
- 跨导管边缘到边缘修复是FDA批准的FMR唯一的导管治疗方法.
结论:
- 过导管干预措施在管理FMR方面取得了重大进展.
- 进一步研究透导管选项对于改善FMR患者的治疗结果至关重要.
相关概念视频
Mitral Valve Prolapse II: Assessment and Management
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 tachycardia.
Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Regurgitation IV: Nursing Management
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
Mitral Stenosis III: Medical Management
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...
Mitral Stenosis IV: Nursing Management
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Cardiomyopathy V: Interprofessional Care
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...


