最近审阅: 5 十一月 2020
最近更新: 28 四月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 呼吸困难
  • 胸痛
  • 晕厥
  • 收缩期喷射性杂音
  • 第二心音减弱,呈单心音
  • 颈动脉细迟脉

其他诊断因素

  • S2 逆分裂
  • Gallavardin 现象
  • 出血

危险因素

  • 年龄 60 岁以上
  • 先天性双瓣膜主动脉瓣
  • 风湿性心脏病
  • 慢性肾病
  • 放疗
  • 低密度脂蛋白(low-density lipoprotein, LDL)胆固醇水平高
  • 高脂蛋白血症

诊断性检查

首要检查

  • 经胸超声心动图(包括多普勒)
  • 心电图(ECG)
更多 首要检查

需考虑的检查

  • 心脏磁共振成像
  • 心导管检查
  • 心电图运动负荷试验
  • 多巴酚丁胺负荷超声
更多 需考虑的检查

治疗流程

撰稿人

Assistant Professor of Medicine

Emory University School of Medicine

Atlanta

GA

利益声明

GLK declares that he has no competing interests.

Professor of Medicine

Division of Cardiology

Emory University School of Medicine

Atlanta

GA

利益声明

VB is a co-investigator in the PARTNER trial, and he has served as a consultant for Edwards Lifesciences and Abbott Vascular.

Professor of Medicine, Pediatrics, and Public Health

Emory University School of Medicine

Atlanta

GA

利益声明

RMP declares that she has no competing interests.

Dr Girish L. Kalra, Dr Vasilis Babaliaros, and Dr Ruth M. Parker would like to gratefully acknowledge Dr David Liff, a previous contributor to this topic.

利益声明

DL declares that he has no competing interests.

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Professor of Medicine

Emory University School of Medicine

Atlanta

GA

利益声明

PB declares that he has no competing interests.

Consultant Cardiologist and Honorary Senior Lecturer

Imperial College Healthcare NHS Trust

Hammersmith Hospital

London

UK

利益声明

GM has been supported by Edwards Lifesciences (manufacturer of the Edwards Sapien Transcatheter Valve) for attending cardiology conferences. Both Edwards Lifesciences and Medtronic (manufacturer of the CoreValve Transcatheter Valve) are contributing to an educational course on the transcatheter and surgical treatments of aortic and mitral valve disease. Edwards Lifesciences are supporting a research project on transcatheter treatment of aortic valve disease.

Consultant

Cardiology Center

University Hospital Geneva

Geneva

Switzerland

利益声明

JMS declares that he has no competing interests.

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