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心血管代谢健康联盟:致力于代谢综合征的新型护理模式。

The CardioMetabolic Health Alliance: Working Toward a New Care Model for the Metabolic Syndrome.

机构信息

Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.

Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York.

出版信息

J Am Coll Cardiol. 2015 Sep 1;66(9):1050-67. doi: 10.1016/j.jacc.2015.06.1328.

Abstract

The Cardiometabolic Think Tank was convened on June 20, 2014, in Washington, DC, as a "call to action" activity focused on defining new patient care models and approaches to address contemporary issues of cardiometabolic risk and disease. Individual experts representing >20 professional organizations participated in this roundtable discussion. The Think Tank consensus was that the metabolic syndrome (MetS) is a complex pathophysiological state comprised of a cluster of clinically measured and typically unmeasured risk factors, is progressive in its course, and is associated with serious and extensive comorbidity, but tends to be clinically under-recognized. The ideal patient care model for MetS must accurately identify those at risk before MetS develops and must recognize subtypes and stages of MetS to more effectively direct prevention and therapies. This new MetS care model introduces both affirmed and emerging concepts that will require consensus development, validation, and optimization in the future.

摘要

代谢心血管思维小组于 2014 年 6 月 20 日在华盛顿特区召开,作为一项“行动呼吁”活动,专注于定义新的患者护理模式和方法,以解决心血管代谢风险和疾病的当代问题。来自 20 多个专业组织的个别专家参加了这次圆桌讨论。思维小组的共识是,代谢综合征(MetS)是一种复杂的病理生理状态,由一组临床上测量和通常未测量的危险因素组成,其病程是渐进的,并且与严重和广泛的合并症相关,但往往在临床上被低估。MetS 的理想患者护理模式必须在 MetS 发展之前准确识别出处于危险中的人群,并且必须识别出 MetS 的亚型和阶段,以便更有效地指导预防和治疗。这种新的 MetS 护理模式引入了既已证实又有发展前景的概念,这将需要在未来达成共识、验证和优化。

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