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确定近期内发生心血管事件高危患者:现状和未来方向:美国国立心肺血液研究所工作组的报告。

Identifying patients at high risk of a cardiovascular event in the near future: current status and future directions: report of a national heart, lung, and blood institute working group.

机构信息

University of Michigan Cardiovascular Center, Ann Arbor, MI 48109-5852, USA.

出版信息

Circulation. 2010 Mar 30;121(12):1447-54. doi: 10.1161/CIRCULATIONAHA.109.904029.

Abstract

The National Heart, Lung, and Blood Institute convened working group to provide basic and clinical research recommendations to the National Heart, Lung, and Blood Institute on the development of an integrated approach for identifying those individuals who are at high risk for cardiovascular event such as acute coronary syndromes (ACS) or sudden cardiac death in the “near term.” The working group members defined near-term as occurring within 1 year of the time of assessment. The participants reviewed current clinical cardiology practices for risk assessment and state-of-the-science techniques in several areas, including biomarkers, proteomics, genetics, psychosocial factors, imaging, coagulation, and vascular and myocardial susceptibility. This report presents highlights of these reviews and a summary of suggested research directions.

摘要

美国国立心肺血液研究所召集了一个工作组,就制定一种综合方法向该研究所提供基础和临床研究建议,以识别那些在“近期”发生心血管事件(如急性冠脉综合征[ACS]或心源性猝死)风险较高的个体。工作组将近期定义为评估时间后 1 年内发生的事件。与会者审查了当前的临床心脏病学风险评估实践和多个领域的科学技术,包括生物标志物、蛋白质组学、遗传学、社会心理因素、影像学、凝血、血管和心肌易感性。本报告介绍了这些综述的要点以及建议的研究方向的总结。

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