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ANMCO/GICR-IACPR/SICI-GISE 共识文件:慢性缺血性心肌病的临床管理

ANMCO/GICR-IACPR/SICI-GISE Consensus Document: the clinical management of chronic ischaemic cardiomyopathy.

作者信息

Riccio Carmine, Gulizia Michele Massimo, Colivicchi Furio, Di Lenarda Andrea, Musumeci Giuseppe, Faggiano Pompilio Massimo, Abrignani Maurizio Giuseppe, Rossini Roberta, Fattirolli Francesco, Valente Serafina, Mureddu Gian Francesco, Temporelli Pier Luigi, Olivari Zoran, Amico Antonio Francesco, Casolo Giancarlo, Fresco Claudio, Menozzi Alberto, Nardi Federico

机构信息

Cardiovascular Science Department, A.O. Sant'Anna e San Sebastiano, Via Palasciano, 1 81100 Caserta, Italy.

Department of Cardiology, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania, Italy.

出版信息

Eur Heart J Suppl. 2017 May;19(Suppl D):D163-D189. doi: 10.1093/eurheartj/sux021. Epub 2017 May 2.

Abstract

Stable coronary artery disease (CAD) is a clinical entity of great epidemiological importance. It is becoming increasingly common due to the longer life expectancy, being strictly related to age and to advances in diagnostic techniques and pharmacological and non-pharmacological interventions. Stable CAD encompasses a variety of clinical and anatomic presentations, making the identification of its clinical and anatomical features challenging. Therapeutic interventions should be defined on an individual basis according to the patient's risk profile. To this aim, management flow charts have been reviewed based on sustainability and appropriateness derived from recent evidence. Special emphasis has been placed on non-pharmacological interventions, stressing the importance of lifestyle changes, including smoking cessation, regular physical activity, and diet. Adherence to therapy as an emerging risk factor is also discussed.

摘要

稳定型冠状动脉疾病(CAD)是一种具有重大流行病学意义的临床实体。由于预期寿命延长,它正变得越来越普遍,这与年龄以及诊断技术、药物和非药物干预的进展密切相关。稳定型CAD涵盖多种临床和解剖学表现,这使得识别其临床和解剖学特征具有挑战性。治疗干预应根据患者的风险状况进行个体化定义。为此,已根据近期证据得出的可持续性和适当性对管理流程图进行了审查。特别强调了非药物干预,强调了生活方式改变的重要性,包括戒烟、定期体育活动和饮食。还讨论了作为一种新出现的风险因素的治疗依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e055/5421493/8554eb2cc966/sux021f1.jpg

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