Фенотип современного пациента с приобретёнными пороками клапанов сердца: обзор литературы
Фенотип современного пациента с приобретёнными пороками клапанов сердца: обзор литературы
Дрень Е.В., Ляпина И.Н., Печерина Т.Б., Барбараш О.Л. Фенотип современного пациента с приобретёнными пороками клапанов сердца: обзор литературы // CardioСоматика. 2023. Т. 14. № 4. С. 269–282.
DOI: https://doi.org/10.17816/CS601825
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Dren’ EV, Lyapina IN, Pecherina TB, Barbarash OL. Phenotype of a patient with valvular heart disease: literature review. CardioSomatics. 2023;14(4):269–282. DOI: https://doi.org/10.17816/CS601825
Фенотип современного пациента с приобретёнными пороками клапанов сердца: обзор литературы
Дрень Е.В., Ляпина И.Н., Печерина Т.Б., Барбараш О.Л. Фенотип современного пациента с приобретёнными пороками клапанов сердца: обзор литературы // CardioСоматика. 2023. Т. 14. № 4. С. 269–282.
DOI: https://doi.org/10.17816/CS601825
________________________________________________
Dren’ EV, Lyapina IN, Pecherina TB, Barbarash OL. Phenotype of a patient with valvular heart disease: literature review. CardioSomatics. 2023;14(4):269–282. DOI: https://doi.org/10.17816/CS601825
В современных условиях приобретённые пороки сердца (ППС) являются одной из наиболее распространённых патологий среди болезней системы кровообращения с динамическим изменением фенотипа пациентов. Рост распространённости ППС в настоящее время наблюдается ввиду активного внедрения диагностических методов в кардиологии, отмечаются географические различия в генезе развития пороков сердца, а также меняется портрет пациентов в виде постарения этой когорты и присоединения коморбидной патологии. Целью обзора литературы было представить современные тенденции в изменении фенотипа пациента с ППС, изучить актуальные данные об эпидемиологии клапанной патологии, вкладе различных кардиоваскулярных факторов риска и коморбидности пациентов в течение заболевания. Представлены актуальные сведения об объёме выполняемых оперативных вмешательств по поводу ППС на основании данных российских, европейских, американских, австралийских и других исследований, а также информация о выживаемости и летальности пациентов и различия этих показателей в различных возрастных группах разных стран. Обзор будет полезен врачам для понимания современного портрета пациента с ППС, тенденций кардиоваскулярных факторов риска, оказывающих влияние на течение заболевания и прогноз больных с ППС.
Currently, valvular heart disease (VHD) is one of the most common pathologies among cardiovascular diseases, which changes dynamically depending on the phenotype of the patients. The prevalence of VHD is currently increasing because of the active implementation of diagnostic methods in cardiology. Geographical differences in the genesis of valvular heart defects are noted, and the patient picture also changes because of aging and the presence of comorbid pathologies. This literature review aimed to explore the current trends in the changing phenotype of patients with VHD and analyze current data on the epidemiology of valve pathology and the contributions of various cardiovascular risk factors and comorbidities to the disease course. The review also presented current data on the number of surgical interventions performed for VHD based on Russian, European, American, Australian, and other studies, data on patient survival and mortality, and differences in these indicators in age groups from different countries. This review will be useful for doctors to understand the modern portrait of a patient with VHD, trends in cardiovascular risk factors that influence the course of the disease, and prognosis in patients with VHD.
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Авторы
Е.В. Дрень*, И.Н. Ляпина, Т.Б. Печерина, О.Л. Барбараш
НИИ комплексных проблем сердечно-сосудистых заболеваний, Кемерово, Россия
*e.tolpekina.v@mail.ru
________________________________________________
Elena V. Dren’*, Irina N. Lyapina, Tamara B. Pecherina, Olga L. Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia
*e.tolpekina.v@mail.ru