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二尖瓣狭窄的终身管理

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二尖瓣狭窄包括由风湿热引起的二尖瓣狭窄及以退行性改变为主要特征的非风湿性瓣膜狭窄.风湿性二尖瓣狭窄常见于发展中国家,青年发病;而退行性二尖瓣狭窄则常见于发达国家,随老龄化加剧而发病率增加,不同病因的二尖瓣狭窄均会导致心脏结构及功能发生改变,从而影响患者生活质量及预后,因此二尖瓣狭窄的终身管理至关重要.该文对二尖瓣狭窄的新流行特征、影像诊断、治疗方法进行了综述,旨在为临床医生进行全面管理提供参考.
Lifelong management of mitral stenosis
Mitral stenosis includes mitral stenosis due to rheumatic fever and non-rheumatic valve stenosis characterized by degenerative changes.Rheumatic mitral stenosis is common in developing countries and occurs in young adults,while degenerative mitral stenosis is common in developed countries and increases in incidence with aging.Mitral stenosis of different etiologies can lead to changes in heart structure and function,which affects the quality of life and prognosis of patients,so lifelong management of mitral stenosis is crucial.This article provides a comprehensive reference for clinicians in the management of mitral stenosis,with a detailed overview of the emerging prevalence features,imaging diagnosis,and treatment methods.

Mitral stenosisnew popular featuresdiagnostic imagingtreatment

王晶、陈韵岱

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中国人民解放军总医院第六医学中心心血管病医学部(北京 100048)

二尖瓣狭窄 新流行特征 影像诊断 治疗方法

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(9)