Abstract

Aortic stenosis (AS) is the most prevalent valvular disease in developed countries, with a prevalence that is set to expand further with an ageing population. The most recent guidelines on valvular heart disease published by the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery, aim to standardize the diagnosis and management of valvular heart diseases. The imaging criteria of the current guidelines are mostly based on EACVI Recommendations, with an appropriate diagnostic workflow being of major importance, to ensure streamlined and efficient patient assessment and accurate diagnoses and decisions regarding the timing of surgery. The EACVI Scientific Initiatives Committee, therefore, created a survey on the imaging assessment of patient with AS to investigate the diagnostic patient pathways used in different centres across Europe. In particular, we conducted this survey to better understand the use and access of advanced imaging techniques in AS including 3D transthoracic echocardiography and 3D transoesophageal echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance.

中文翻译：

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主动脉瓣狭窄的评估，如何在整个欧洲实施新指南：EACVI的一项调查

摘要

主动脉瓣狭窄（AS）是发达国家中最普遍的瓣膜疾病，随着人口的老龄化，其流行程度将进一步扩大。欧洲心脏病学会和欧洲心胸外科协会出版的有关瓣膜性心脏病的最新指南旨在标准化瓣膜性心脏病的诊断和管理。当前指南的影像学标准主要基于EACVI建议，适当的诊断工作流程至关重要，以确保简化和有效的患者评估以及有关手术时间的准确诊断和决策。因此，EACVI科学计划委员会 建立了一项针对AS患者的影像学评估的调查，以调查欧洲不同中心使用的诊断性患者路径。特别是，我们进行了这项调查，以更好地了解AS中先进的成像技术的使用和途径，包括3D经胸超声心动图和3D经食道超声心动图，心脏计算机断层扫描和心血管磁共振。