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[无症状心血管高危人群动脉粥样硬化负荷的无创检测]

[Noninvasive tests of atherosclerotic burden in asymptomatic people with high cardiovascular risk].

作者信息

Vértes András

机构信息

Gottsegen György Országos Kardiológiai Intézet, Felnott Kardiológiai Osztály, Budapest.

出版信息

Orv Hetil. 2005 Aug 7;146(32):1663-71.

Abstract

Objective of cardiovascular prevention to reduce the risk of major cardiovascular events and morbidity and prolong the quality of life. Strategy of prevention is identification of high risk individuals, and action to reduce their risk factors levels. Noninvasive tests such as carotis artery duplex scanning, ultrasound-based endothelial function studies, ankle-brachial blood pressure ratios, coronary calcium score by electron-beam CT, and high-sensitivity testing for C-reactive protein offer the potential for directly and indirectly measuring atherosclerosis in asymptomatic people. If a patient is found to have abnormal non-invasive test, this patient can be elevated to a higher risk category.

摘要

心血管预防的目标是降低主要心血管事件的风险、发病率并延长生活质量。预防策略是识别高危个体,并采取行动降低其危险因素水平。诸如颈动脉双功扫描、基于超声的内皮功能研究、踝臂血压比值、电子束CT冠状动脉钙化评分以及C反应蛋白高敏检测等非侵入性检查为直接和间接测量无症状人群的动脉粥样硬化提供了可能。如果发现患者的非侵入性检查异常,该患者可被归为更高风险类别。

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