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[鉴于近期研究结果谈动脉僵硬度评估心血管风险的临床价值与测量]

[Clinical value and measurement of arterial stiffness for the assessment of cardiovascular risk in light of recent results].

作者信息

Nemcsik János, Tislér András, Kiss István

机构信息

Semmelweis Egyetem, Általános Orvostudományi Kar Családorvosi Tanszék Budapest Kútvölgyi út 4. 1125 Zuglói Egészségügyi Szolgálat (ZESZ) Budapest.

Semmelweis Egyetem, Általános Orvostudományi Kar I. Belgyógyászati Klinika Budapest.

出版信息

Orv Hetil. 2015 Feb 8;156(6):211-5. doi: 10.1556/OH.2015.30096.

Abstract

Cardiovascular risk stratification is fundamental for the development of effective prevention and therapeutic strategies. Although there are numerous scores and risk tables available, a difference still exists between the estimated and real number of cardiovascular events. Measurement of arterial stiffness can provide additional information to risk stratification. The most widely accepted parameter of arterial stiffness is aortic pulse wave velocity, which has been included in the guideline of the European Society of Hypertension in 2007 and 2013, although American guidelines still omit it. In this review the authors summarize the evidence with regards to the different steps required for clinical application of arterial stiffness measurement and they also discuss the questions that evolved from the methodological variability of different measurement techniques.

摘要

心血管风险分层是制定有效预防和治疗策略的基础。尽管有众多评分和风险表可供使用,但心血管事件的估计数量与实际数量之间仍存在差异。动脉僵硬度的测量可为风险分层提供额外信息。动脉僵硬度最广泛接受的参数是主动脉脉搏波速度,该参数已被纳入2007年和2013年欧洲高血压学会指南,尽管美国指南仍未采用。在这篇综述中,作者总结了动脉僵硬度测量临床应用所需不同步骤的证据,并讨论了因不同测量技术方法变异性而产生的问题。

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