2017 AHA/ACC指南:心脏瓣膜病患者的管理(更新版)

2017-03-16 MedSci MedSci原创

2017年3月,美国心脏协会(AHA)、美国心脏病学会(ACC)集中更新了2014年心脏瓣膜病患者的管理指南。指南更新要点包括:抗生素预防感染性心内膜炎(IE)适应证的变化,房颤合并心脏瓣膜病患者中直接口服抗凝剂(DOAC)的使用,经导管主动脉瓣置换术(TAVR)的适应证,原发性和继发性二尖瓣反流(MR)患者的手术治疗,植入人工心脏瓣膜患者的管理等。 拓展指南:与心脏病相关指南:

     
2017年3月,美国心脏协会(AHA)、美国心脏病学会(ACC)集中更新了2014年心脏瓣膜病患者的管理指南。指南更新要点包括:抗生素预防感染性心内膜炎(IE)适应证的变化,房颤合并心脏瓣膜病患者中直接口服抗凝剂(DOAC)的使用,经导管主动脉瓣置换术(TAVR)的适应证,原发性和继发性二尖瓣反流(MR)患者的手术治疗,植入人工心脏瓣膜患者的管理等。
拓展指南:心脏病相关指南:

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    2017-03-18 zhaohui6731
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    2017-03-16 美丽明天在等我

    学习充电中

    0

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    2017-03-16 天涯183

    非常好的研究

    0

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“双心医疗”和生物医学的需求层次论相合,其实质是尊重患者、注重社会心理效应对疾病的相互影响,把患者心血管疾病的发生、发展和转归,看成是一个系统工程,对心血管疾病和可能合并的精神-心理因素进行仔细梳理,在此基础上,以严格的循证医学证据为指南,对患者进行准确的诊治和一级、二级、三级预防,引入现代心脏康复观念,并对患者展开长期、定期随访。与目前把患者当成机器来修理的医疗模式截然不同,“双心医学”,是一种

膳食补充剂可以改善心脏健康,延长预期寿命

膳食干预可以有益于肌肉萎缩症的人的心脏健康。这是在实验生理学发表的新研究。如果这些发现在人类中得到证实,可能意味着现成的补充剂可以改善健康和延长预期寿命。

Diabetes Care:磺脲类药物相关低血糖对心脏的影响有哪些?

低血糖,往往无法识别,在控制良好的磺脲类药物治疗2型糖尿病患者中常见。它与一些患者新发现的QT间期动态性增加和QTc间期延长相关。该研究结果表明,磺脲类药物相关的低血糖会产生有害的心血管后遗症。在胰岛素治疗的情况下也会出现类似的效果。

Plos One:三种生活方式对心肾功能的影响!看看你属于哪一种?

虽然个体倾向于表现出某些特定的生活方式,但是,这些生活方式在日常生活中对心肾代谢参数的影响仍然知之甚少。近期,一项发表在杂志Plos One上的研究旨在评估生活方式模式的聚类,并调查这些模式与心肾代谢参数之间的关系。入选的受试人群是726名没有心血管疾病史的日本2型糖尿病(T2DM)门诊患者。通过线性和逻辑回归分析研究他们的生活方式和心肾代谢参数之间的关系。此项研究结果显示:三种生活方式模式:夜间

上海实施国内首例艾滋病人心脏外科手术

经多学科通力合作,一位花甲之年感染艾滋病、并发心脏主动脉瓣、二尖瓣重度关闭不全病人成功实现心脏瓣膜置换。