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胸主动脉疾病诊断的生物标志物:CON。

Biomarkers for diagnosis in thoracic aortic disease: CON.

机构信息

Department of Surgery, Cardiothoracic Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 8th Floor Des Loges Towers, St Louis, MO 63110, USA.

出版信息

Cardiol Clin. 2010 May;28(2):213-20. doi: 10.1016/j.ccl.2010.01.018.

DOI:10.1016/j.ccl.2010.01.018
PMID:20452530
Abstract

The fundamental requirements for a meaningful biomarker have not been met in the prediction of the aneurysm trait, the progression of the aneurysm disease state, or the prevention of catastrophic aortic complications. Aortic aneurysm is a worthy opponent on all fronts, and clinicians should continue actively to evaluate all potential diagnostic and therapeutic adjuncts with high levels of scientific scrutiny and rigor, so that the understanding and management of this disease process evolves in a complementary, rather than duplicative, manner. In the meantime, proteomics, genomics, and metabolomics continue to represent a muse of sorts in scientific circles, but clinicians are responsible for verifying the relevance and meaningful application of its postulates as they apply to individual patients within the context of efficient and effective global health care delivery.

摘要

在预测动脉瘤特征、动脉瘤疾病状态的进展或预防灾难性主动脉并发症方面,有意义的生物标志物的基本要求尚未得到满足。主动脉瘤在各个方面都是一个值得关注的对手,临床医生应继续积极评估所有潜在的诊断和治疗辅助手段,以高度的科学审查和严谨性进行评估,以便以互补而非重复的方式来发展对这种疾病过程的理解和管理。与此同时,蛋白质组学、基因组学和代谢组学继续在科学界中具有一定的吸引力,但临床医生有责任验证其假设在个体患者中的相关性和实际应用,同时在高效和有效的全球医疗保健提供的背景下。

相似文献

1
Biomarkers for diagnosis in thoracic aortic disease: CON.胸主动脉疾病诊断的生物标志物:CON。
Cardiol Clin. 2010 May;28(2):213-20. doi: 10.1016/j.ccl.2010.01.018.
2
Biomarkers for diagnosis in thoracic aortic disease: PRO.胸主动脉疾病诊断的生物标志物:赞成。
Cardiol Clin. 2010 May;28(2):207-11. doi: 10.1016/j.ccl.2010.01.009.
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Editorial comment: biomarkers for diagnosis in thoracic aortic disease.
Cardiol Clin. 2010 May;28(2):221-2. doi: 10.1016/j.ccl.2010.02.017.
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Biomarkers in TAA-the Holy Grail.taa 中的生物标志物——圣杯。
Prog Cardiovasc Dis. 2013 Jul-Aug;56(1):109-15. doi: 10.1016/j.pcad.2013.05.004. Epub 2013 Jun 4.
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Early surgical experience with Loeys-Dietz: a new syndrome of aggressive thoracic aortic aneurysm disease.洛伊斯-迪茨综合征的早期外科治疗经验:一种侵袭性胸主动脉瘤疾病的新综合征
Ann Thorac Surg. 2007 Feb;83(2):S757-63; discussion S785-90. doi: 10.1016/j.athoracsur.2006.10.091.
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Genetic testing in aortic aneurysm disease: CON.遗传性主动脉瘤疾病的基因检测:反对。
Cardiol Clin. 2010 May;28(2):199-204. doi: 10.1016/j.ccl.2010.02.002.
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Thoracic aortic aneurysm clinically pertinent controversies and uncertainties.胸主动脉瘤的临床相关争议和不确定性。
J Am Coll Cardiol. 2010 Mar 2;55(9):841-57. doi: 10.1016/j.jacc.2009.08.084.
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A Decade of Discovery in the Genetic Understanding of Thoracic Aortic Disease.遗传性胸主动脉疾病研究的十年进展。
Can J Cardiol. 2016 Jan;32(1):13-25. doi: 10.1016/j.cjca.2015.10.017. Epub 2015 Oct 26.
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What's new in the biochemical diagnosis of acute aortic dissection: problems and perspectives.急性主动脉夹层生化诊断的新进展:问题与展望
Med Sci Monit. 2007 Aug;13(8):RA154-8.
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Indications for the treatment of thoracic aortic aneurysms.胸主动脉瘤的治疗指征。
Surg Clin North Am. 2009 Aug;89(4):845-67, ix. doi: 10.1016/j.suc.2009.06.005.

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The Role of ADAMTS Proteoglycanases in Thoracic Aortic Disease.ADAMTS 蛋白聚糖酶在胸主动脉疾病中的作用。
Int J Mol Sci. 2023 Jul 28;24(15):12135. doi: 10.3390/ijms241512135.
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Genetic screening in heritable thoracic aortic disease-rationale, potentials and pitfalls.遗传性胸主动脉疾病的基因筛查——基本原理、潜力与陷阱
Indian J Thorac Cardiovasc Surg. 2022 Apr;38(Suppl 1):24-35. doi: 10.1007/s12055-020-01124-7. Epub 2021 Mar 2.