中国成 人心脏瓣膜病超声心动图规范化检查专家共识.pdf

中国循环杂志 2021 年 2 月 第 36 卷 第 2 期（总第 272 期）Chinese Circulation Journal，February，2021，Vol. 36 No.2（Serial No.272） 109 指南与共识 中国成人心脏瓣膜病超声心动图规范化检查专家共识 中华医学会心血管病学分会心血管影像学组，北京医学会心血管病学会影像学组 摘要 心脏瓣膜病是由多种原因引起的心脏瓣膜狭窄和（或 ）反流所致的心脏疾病。超声心动图是证实心脏瓣膜病的诊 断并评估其严重程度的首选方法。由于多方面原因，不同地区、医院和检查者之间的超声心动图检查流程和结果存 在一定差异，不利于心脏瓣膜病患者的综合管理。为帮助临床医生对心脏瓣膜病作出准确而一致的诊断和评估，促 进相关的临床和科研工作深入发展，制定规范化检查共识十分必要，对心脏瓣膜病的诊断、危险分层、治疗指导、 预后评估等具有重要意义。 关键词 心脏瓣膜病；超声心动图；规范化；诊断；严重程度评估 Expert Consensus for Standard Assessment by Echocardiography in Chinese Adults With Valvular Heart Disease Division of Cardiovascular Imaging, Chinese Society of Cardiology, Chinese Medical Association; Imaging Group, Cardiovascular Department, Beijing Medical Association. Co-corresponding Authors: WANG Fang, Email:163.com; WU Yongjian, Email: wuyongjianwork@163.com Abstract Valvular heart disease can be caused by heart valve stenosis and/or regurgitation resulting from multiple causes. Echocardiography is the preferred method to confirm the diagnosis, to define the etiology, and to evaluate the severity of valve disease. Due to various reasons, the echocardiographic procedures and obtained results are not uinified between different regions, hospitals and examiners. Above phenomenon impedes the comprehensive management of patinets with valvular heart disease. In order to help clinicians make accurate and consistent diagnosis and assessment, to promote the in-depth development of clinical and scientific research related to valvular heart disease, it is necessary to establish consensus on standardized echocardiographic examination procedures and evaluation criteria. The establishment of this consensus might have important clinical implication for the diagnosis, risk stratification, treatment and prognosis evaluation of patients with valvular heart disease. Key words v