Davies Mark G
Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
Methodist Debakey Cardiovasc J. 2012 Oct-Dec;8(4):3-9. doi: 10.14797/mdcj-8-4-3.
Systemic atherosclerosis and its risk factors are present in the majority of patients with critical limb ischemia. Aggressive medical therapy is an immediate and necessary part of the work-up and management of these patients and will involve a multidisciplinary approach. Risk stratification based on a patient's current clinical cardiovascular condition is important in determining the most appropriate and safe intervention and will allow both the patient and physician to make an informed decision regarding risk- and cost-benefits of treatment.
大多数严重肢体缺血患者存在全身动脉粥样硬化及其危险因素。积极的药物治疗是这些患者检查和管理中直接且必要的一部分,并且需要多学科方法。基于患者当前临床心血管状况进行风险分层对于确定最合适和安全的干预措施很重要,这将使患者和医生能够就是否进行治疗的风险和成本效益做出明智的决定。