循環器ジャーナル66巻2号

2018年04月発行

特集 Structural Heart Diseaseインターベンション—「新しい」インターベンションのすべて Ⅰ．TAVI

TAVIとFrailty

著者： 加納誠士¹ 志村徹郎¹ 山本真功¹

所属機関： ¹豊橋ハートセンター循環器内科

ページ範囲：P.202 - P.209

Point
・Frailty（フレイル）はTAVI術後の予後と相関する．
・TAVI患者の適応にはFrailtyを考慮する必要がある．

参考文献

1) Nishimura RA, Otto CM, Bonow RO, et al:2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 11:252-289, 2017

2) Afilalo J, Karunananthan S, Eisenberg MJ, et al:Role of frailty in patients with cardiovascuiar disease. Am J Cardiol 103:1616-1621, 2009

3) Afilalo J, Eisenberg MJ, Morn JF, et al:Gait speed as as incremental predictors of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol 56:1668-1676, 2010

4) Yamamoto M, Shimura T, Kano S, et al:Prognostic value of hypoalbuminemia after transcatheter aortic valve implantation（from the Japanese multicenter OCEAN-TAVI registry）. Am J Cardiol 119:770-777, 2017

5) Kagase A, Yamamoto M, Shimura T, et al:Gender-specific grip strength after transcatheter aortic valve replacement in elderly patients. JACC Cardiovasc Interv, 2017［In press］

6) Kano S, Yamamoto M, Shimura T, et al:Gait speed can predict advanced clinical outcomes in patients who undergo transcatheter aortic valve replacement:Insights from a Japanese multicenter registry. Circ Cariovasc Interv, 2017［Epub ahead of print］.

7) Gregorevic KJ, Hubbard RE, Lim WK, Katz B:The clinical frailty scale predicts functional decline and mortality when used by junior medical staff:a prospective cohort study. BMC Geriatr 16:117, 2016

8) Shimura T, Yamamoto M, Kano S, et al:Impact of the Clinical Frale Scale on Outcomes After Transcatheter Aortic Valve Replacement. Circulation 135:2013-2024, 2017