心脏瓣膜病手术时机幻灯片.ppt

观察治疗（Watchful waiting approach） 无症状的重度反流患者 左室功能正常 窦性心律 肺动脉收缩压≤50mmHg 未达到指南治疗指征的患者 Rosenhek R, Rader F, Klaar U, Gabriel H, Krejic M, Kalbeck D, Schemper M, Maurer G, Baumgartner H. Outcome of watchful waiting in asymptomatic mitral regurgitation. Circulation 2006;113:2238–2244. * 早期手术（Early repair） Montant P, Chenot F, Robert A, Vancraeynest D, Pasquet A, Gerber B, Noirhomme P, El Khoury G, Vanoverschelde JL. Long-term survival in asymptomatic patients with severe degenerative mitral regurgitation: a propensity scorebased comparison between