BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 呼吸困难
  • 胸痛
  • 晕厥

其他诊断因素

  • S2逆分裂
  • Gallavardin's现象
  • 出血

危险因素

  • 年龄> 60 岁
  • 先天性双瓣膜主动脉瓣
  • 风湿性心脏病
  • 慢性肾脏疾病

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)
全部具体信息

需要考虑的检查

  • 心脏MRI
  • 心导管插管检查
  • 心电图运动负荷试验
  • 多巴酚丁胺负荷超声
全部具体信息

治疗流程

贡献者

Assistant Professor of Medicine

Emory University School of Medicine

Atlanta

GA

利益冲突披露
GLK declares that he has no competing interests.

Associate Professor of Medicine

Division of Cardiology

Emory University School of Medicine

Atlanta

GA

利益冲突披露
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

利益冲突披露
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 monograph. DL declares that he has no competing interests.

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Professor of Medicine

Emory University School of Medicine

Atlanta

GA

利益冲突披露
PB declares that he has no competing interests.

Consultant Cardiologist and Honorary Senior Lecturer

Imperial College Healthcare NHS Trust

Hammersmith Hospital

London

UK

利益冲突披露
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

利益冲突披露
JMS declares that he has no competing interests.

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