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重度三尖瓣反流诊治现状

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三尖瓣反流(TR)临床上并不少见,重度TR造成长期右心室容量负荷增加并导致不可逆心肌损伤,最终出现右心衰竭,使这类患者的住院率及死亡率增加。重度TR的治疗包括药物治疗、外科手术治疗及经导管三尖瓣介入治疗。单纯外科手术治疗重度TR的死亡率高于其他瓣膜关闭不全的外科手术。经导管三尖瓣介入治疗是治疗重度TR的一个新型手段,三尖瓣经导管缘对缘修复是应用最广泛的技术。现从重度TR的发病率、病因、诊断和治疗策略等方面进行综述。
Current Status on Diagnosis and Treatment of Severe Tricuspid Regurgitation
Tricuspid regurgitation(TR)is not rare in clinic.Severe TR causes a long-term increase in right ventricular volume load and leads to irreversible myocardial damage,eventually leading to right heart failure,increasing the hospitalization rate and mortality of these patients.Treatment of severe TR includes drug therapy,surgery,and transcatheter tricuspid valve intervention.The mortality rate of isolated surgical treatment of severe TR is higher than that of other surgeries for valvular regurgitation.Transcatheter tricuspid valve intervention is a new method of treating severe TR.Tricuspid valve transcatheter edge-to-edge repair is the most widely applied technique.This article reviews the incidence,etiology,diagnosis,and treatment strategies of severe TR.

Severe tricuspid regurgitationDiagnosisTranscatheter tricuspid valve intervention

李明、张慧平

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北京医院国家老年医学中心北京协和医学院中国医学科学院,北京 100730

重度三尖瓣反流 诊断 经导管三尖瓣介入治疗

中央高水平医院临床科研业务费资助

BJ-2018-201

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(7)