PDF(Pubmed)
Abstract：
Aortic stenosis (AS) is the most common valvular heart disease in Europe and North America requiring a surgical or interventional treatment. Due to demographic changes with an aging population the burden of valvular heart diseases and especially the importance of aortic stenosis (AS) will be growing in future. As the onset of symptoms is associated with a decrease in life expectancy appropriate and early diagnosis are of utmost importance. However, insights of clinical practice underline diagnostic challenges which may lead to a delayed initiation of treatment with an adverse effect on the prognosis. The aim of this review is to display different diagnostic approaches that may be helpful in detecting patients with aortic valve stenosis. This review will focus on both non-invasive and invasive diagnostic approaches that can be implemented in clinical routine. Further-more, we will especially highlight recommendations of the 2021 European guidelines for the management of valvular heart disease.
UNASSIGNED: For this review a selective literature research on the databases PubMed and Google Scholar was conducted. Original articles, reviews and meta-analyses were included when meeting our search criteria. Following terms were used in different combinations: Aortic valve stenosis; Aortic stenosis; diagnosis of aortic stenosis; ESC Guidelines for the management of valvular heart disease.
UNASSIGNED: For this review a selective literature research on the databases PubMed and Google Scholar was conducted. Original articles, reviews and meta-analyses were included when meeting our search criteria. Following terms were used in different combinations: Aortic valve stenosis; Aortic stenosis; diagnosis of aortic stenosis; ESC Guidelines for the management of valvular heart disease.
摘要：
主动脉瓣狭窄（AS）是欧洲和北美最常见的瓣膜性心脏病，需要手术或介入治疗。由于人口老龄化的人口变化，心脏瓣膜疾病的负担，尤其是主动脉瓣狭窄（AS）的重要性将在未来增加。由于症状的发作与预期寿命的减少有关，因此适当的早期诊断至关重要。然而,临床实践的见解强调了诊断挑战，这可能导致延迟开始治疗，对预后产生不利影响。这篇综述的目的是展示可能有助于检测主动脉瓣狭窄患者的不同诊断方法。本文将重点介绍可以在临床常规中实施的非侵入性和侵入性诊断方法。更多，我们将特别强调2021年欧洲心脏瓣膜病治疗指南的建议.
UNASSIGNED：对于这篇综述，我们对PubMed和GoogleScholar数据库进行了选择性文献研究。原创文章,在符合我们的检索标准时,纳入了综述和荟萃分析.以下术语以不同的组合使用：主动脉瓣狭窄；主动脉瓣狭窄；主动脉瓣狭窄的诊断；ESC心脏瓣膜病治疗指南。
UNASSIGNED：对于这篇综述，我们对PubMed和GoogleScholar数据库进行了选择性文献研究。原创文章,在符合我们的检索标准时,纳入了综述和荟萃分析.以下术语以不同的组合使用：主动脉瓣狭窄；主动脉瓣狭窄；主动脉瓣狭窄的诊断；ESC心脏瓣膜病治疗指南。
