瓣膜病合并冠心病患者的血运重建治疗策略
杨士伟,周玉杰
摘要(Abstract)：
<正>冠状动脉粥样硬化性心脏病(冠心病)和瓣膜性心脏病(瓣膜病)是最常见的心脏病,也是病死率最高的心脏病。在所有瓣膜病中,主动脉瓣和二尖瓣疾病所占的比例最高。我国缺乏大规模流行病学调查资料。根据欧洲心脏调查的结果,主动脉瓣狭窄及关闭不全、二尖瓣狭窄及关闭不全分别占34%、10%、10%和25%,主动脉瓣与二尖瓣联合瓣膜病占20%,三尖瓣及肺动脉瓣疾病仅占1%。就病因学而论,西方国家以退行性变为主,尤其在
关键词(KeyWords)：
基金项目(Foundation): 国家自然科学基金(81100143);; 北京市教委重点项目(KZ201110025031);; 首都临床特色应用研究重点项目(Z0005190042811);; 北京市科技新星(Z121107002512053)
作者(Author): 杨士伟,周玉杰
参考文献(References)：
- [1]Bonow RO,Carabello BA,Chatterjee K,et al.2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease).Endorsed by the Society of Cardiovascular Anesthesiologists,Society for Cardiovascular Angiography and Interventions,and Society of Thoracic Surgeons[J].J Am Coll Cardiol,2008,52(13):e1-e142.
- [2]Hillis LD,Smith PK,Anderson JL,et al.2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery.A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.Developed in collaboration with the American Association for Thoracic Surgery,Society of Cardiovascular Anesthesiologists,and Society of Thoracic Surgeons[J].J Am Coll Cardiol,2011,58(24):e123-e210.
- [3]Levine GN,Bates ER,Blankenship JC,et al.2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention.A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions[J].J Am Coll Cardiol,2011,58(24):e44-e122.
- [4]中华医学会心血管病学分会介入心脏病学组,中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南2012(简本)[J].中国医学前沿杂志(电子版),2012,4(12):50-59.
- [5]Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology(ESC);European Association for Cardio-Thoracic Surgery(EACTS),Vahanian A,et al.Guidelines on the management of valvular heart disease(version 2012)[J].Eur Heart J,2012,33(19):2451-2496.