Acute Decompensated Valvular Disease in the Intensive Care Unit

被引：0

作者：

Miller, P. Elliott ^{[1
]}

Senman, Balimkiz C. ^{[2
]}

Gage, Ann ^{[3
]}

Carnicelli, Anthony P. ^{[4
]}

Jacobs, Mark ^{[5
]}

Rali, Aniket S. ^{[6
,7
]}

Senussi, Mourad H. ^{[8
,9
]}

Bhatt, Ankeet S. ^{[10
,11
,12
]}

Hollenberg, Steven M. ^{[13
]}

Kini, Annapoorna ^{[14
,15
]}

Menon, Venu ^{[16
]}

Grubb, Kendra J. ^{[17
]}

Morrow, David A. ^{[18
]}

机构：

[1] Yale Sch Med, Sect Cardiovasc Med, New Haven, CT 06517 USA

[2] Duke Univ, Div Cardiol, Durham, NC USA

[3] Centennial Med Ctr, Centennial Heart, Nashville, TN USA

[4] Med Univ South Carolina, Dept Med, Div Cardiol, Charleston, SC USA

[5] SUNY Stony Brook, Div Cardiol, Stony Brook, NY USA

[6] Vanderbilt Univ, Med Ctr, Div Cardiovasc Dis, Nashville, TN USA

[7] Vanderbilt Univ, Med Ctr, Dept Anesthesiol, Nashville, TN USA

[8] Baylor Coll Med, Dept Cardiol, Houston, TX USA

[9] Texas Heart Inst, Houston, TX USA

[10] Kaiser Permanente San Francisco Med Ctr, San Francisco, CA USA

[11] Div Res, San Francisco, CA USA

[12] Stanford Sch Med, Div Cardiovasc Med, Palo Alto, CA USA

[13] Emory Univ, Emory Heart & Vasc Inst, Sch Med, Atlanta, GA USA

[14] Mt Sinai Hosp, Div Cardiol, New York, NY USA

[15] Icahn Sch Med Mt Sinai, New York, NY USA

[16] Cleveland Clin, Heart & Vasc Inst, Dept Cardiovasc Med, Cleveland, OH USA

[17] Emory Univ, Sch Med, Div Cardiothorac Surg, Atlanta, GA USA

[18] Harvard Med Sch, Brigham & Womens Hosp, Cardiovasc Div, TIMI Study Grp, Boston, MA USA

来源：

JACC-ADVANCES | 2024年 / 3卷 / 12期

关键词：

cardiac intensive care unit; cardiogenic shock; valvular disease; AORTIC-VALVE-REPLACEMENT; LEFT-VENTRICULAR DYSFUNCTION; INTRAAORTIC BALLOON PUMP; CARDIOVASCULAR INTERVENTIONS EAPCI; MECHANICAL CIRCULATORY SUPPORT; POSITIVE-PRESSURE VENTILATION; ACUTE MYOCARDIAL-INFARCTION; CORONARY-ARTERY-DISEASE; CARDIOGENIC-SHOCK; INFECTIVE ENDOCARDITIS;

D O I：

10.1016/j.jacadv.2024.101402

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute decompensated valvular disease encompasses a group of complex and challenging conditions, which are often the primary reason for admission to the cardiac intensive care unit and can also complicate the management of other primary cardiac disorders. Critically ill patients with valvular disease also present unique diagnostic and management challenges. Historically, medical and percutaneous interventional therapies have been limited and surgery was the only definitive treatment; however, surgical risk can at times be prohibitive. High-quality evidence to direct management of acute valvular disorders in this population is lacking and societal guidelines largely do not address treatment options for critically ill patients with decompensated valvular disease. In this review, we discuss the clinical presentation and epidemiology of commonly encountered valvular diseases in the modern cardiac intensive care unit, highlight key pathophysiology, detail gaps in evidence, describe the pivotal role of multidisciplinary Heart Teams, and provide guidance for management (JACC Adv. 2024;3:101402) (c) 2024 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY license

引用

页数：19

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