Treatment Challenges in Patients with Acute Heart Failure and Severe Aortic Valve Stenosis

被引:6
|
作者
Schmidt, Tobias [1 ]
Frerker, Christian [1 ]
机构
[1] Asklepios Klin St Georg, Dept Cardiol, Lohmuhlenstr 5, D-20099 Hamburg, Germany
关键词
TAVI; Surgical aortic valve replacement; Heart failure; Treatment options; Reduced left ventricular ejection fraction; OPERATIVE RISK STRATIFICATION; MITRAL REGURGITATION; EJECTION FRACTION; CARDIAC-SURGERY; LOW-FLOW; TRICUSPID REGURGITATION; ELDERLY-PATIENTS; REPLACEMENT; TRANSCATHETER; IMPLANTATION;
D O I
10.1007/s11886-019-1135-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of ReviewThe goal of this paper is to describe the treatment challenges in patients with aortic stenosis in combination with a reduced left ventricular function.Recent FindingsSince the risk of mortality is increased in this patient population, transcatheter aortic valve implantation emerged as an important treatment option. Concomitant factors such as mitral regurgitation or coronary artery disease are important co-factors that need to be evaluated and taken into account for treatment decision.SummaryTreatment of the severe aortic stenosis is key in this complex setting. Since several co-factors may exist in addition to aortic stenosis, treatment needs to be decided by a Heart Team.
引用
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页数:8
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