Abstract:
INTRODUCTION:The choice of type of heart valve prosthesis is determined by the patient's age since bioprostheses have a limited lifespan. This article reviews current recommendations and the literature on cardiac valve replacement. METHODS:Selective literature search in Medline/PubMed back to 1996 and review of current national and international recommendations from specialist societies. RESULTS:The recommendations guiding the type of heart valve replacement have been revised in recent years. Of particular interest are the new generation of biological prostheses with extended durability, a growing use of stentless bioprostheses, a decrease in mortality of reoperation and an increase in life expectancy. Comorbidities such as chronic renal insufficiency or chronic atrial fibrillation are no longer contraindications to bioprosthesis. The number of heart valve replacements in recent years rose despite a concomitant increase in valve repairs. Aortic valves are being increasingly replaced by bioprostheses. DISCUSSION:The choice of heart valve prosthesis should be tailored to each patient taking into account the patient's age, life expectancy, comorbidities, and life style. Different decisions may be made now than those based on earlier recommendations resulting in an individualized treatment, in patients over the age of 65 or 70.
journal_name
Dtsch Arztebl Intjournal_title
Deutsches Arzteblatt internationalauthors
Hoffmann G,Lutter G,Cremer Jdoi
10.3238/arztebl.2008.0143subject
Has Abstractpub_date
2008-02-01 00:00:00pages
143-8issue
8issn
1866-0452journal_volume
105pub_type
杂志文章abstract:BACKGROUND:Much new evidence on oral anticoagulation has come to light in recent years. Non-vitamin-K-dependent oral anti- coagulants (NOAC) have been developed and have been introduced into clinical practice. In this review, we present the current state of the evidence on anticoagulation for various indications with v...
journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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journal_title:Deutsches Arzteblatt international
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2013.0108
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journal_title:Deutsches Arzteblatt international
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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更新日期:2011-09-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2008.0108
更新日期:2008-02-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,meta分析,评审
doi:10.3238/arztebl.2010.0114
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2013.0719
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:The past decade has seen much progress in intrauterine surgery. Randomized trials have documented the benefit of some procedures of this type for the unborn child. METHOD:Selective literature review RESULTS:Randomized trials have demonstrated the benefit of fetoscopic laser coagulation of placental anastom...
journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2012.0603
更新日期:2012-09-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2018.0513
更新日期:2018-08-06 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2010.0537
更新日期:2010-07-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2016.0159
更新日期:2016-03-11 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2013.0743
更新日期:2013-11-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
doi:10.3238/arztebl.2016.0435
更新日期:2016-06-24 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2009-08-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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更新日期:2014-01-06 00:00:00
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更新日期:2017-12-08 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2015-11-20 00:00:00
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journal_title:Deutsches Arzteblatt international
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更新日期:2014-04-11 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
doi:10.3238/arztebl.2008.0265
更新日期:2008-04-01 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章
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更新日期:2017-04-28 00:00:00
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更新日期:2019-10-18 00:00:00
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journal_title:Deutsches Arzteblatt international
pub_type: 杂志文章,评审
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更新日期:2009-01-01 00:00:00
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更新日期:2019-01-18 00:00:00
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