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稳定型冠状动脉疾病患者的功能与解剖学治疗方法:低收入和中等收入国家的视角

Functional versus anatomical approach in stable coronary artery disease patients: Perspective of low- and middle-income countries.

作者信息

Peix Amalia

机构信息

Nuclear Medicine Department, Institute of Cardiology, 17 No. 702, Vedado, CP 10 400, Havana, La Habana, Cuba.

出版信息

J Nucl Cardiol. 2017 Apr;24(2):518-522. doi: 10.1007/s12350-016-0710-1. Epub 2016 Oct 28.

Abstract

Coronary artery disease (CAD) is the primary cause of death worldwide. Nevertheless, while mortality rates have decreased over the last decades in high-income countries, in many low- and middle-income countries, the situation is just the opposite. Thus, the utilization of the more rational approach to diagnose, risk-stratify, and guide cost-effective management in these patients is of utmost importance in a setting of limited financial resources. Topics such as function versus anatomy with the focus on prognosis in stable CAD patients, as well as future perspectives on noninvasive techniques, will be addressed.

摘要

冠状动脉疾病(CAD)是全球主要的死亡原因。然而,尽管在过去几十年中高收入国家的死亡率有所下降,但在许多低收入和中等收入国家,情况却恰恰相反。因此,在财政资源有限的情况下,采用更合理的方法来诊断、进行风险分层并指导这些患者进行具有成本效益的管理至关重要。本文将探讨诸如稳定型CAD患者中功能与解剖结构对比及其对预后的影响,以及无创技术的未来展望等主题。

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