心瓣膜病合并房颤及心衰的处理原则.pptVIP

心瓣膜病合并房颤及心衰的处理原则;第二页，共68页。;第三页，共68页。;国外报道的发病率明显高于国内。Pomerance等尸检162例死于心衰的患者,分析其原因后发现钙化性瓣膜病变占45%,仅次于冠心病。

Wong等在78例65～102岁的患者中

发现瓣膜退行性改变占74%。

90～100岁年龄组几近100%

Springer.Verlag,1982:63～67.

.JAMGeriatirsoc,1983,3l:156.;;;Mitralstenosiswasfoundin23cases(6.4%),ofwhich21caseswererheumaticandtheremaining2weremitralringcalcification(MRC).Mitralregurgitationwasobservedin126cases(35.3%):69ofpapillarymuscledysfunction,26ofmitralvalveprolapse(MVP),16ofMRC,9ofrupturedchordaetendineae,3ofrheumaticand3ofcongenital.

JpnC