无症状冠状动脉钙化扫描阳性患者的管理
Management of Asymptomatic Patients With Positive Coronary Artery Calcium Scans.
作者信息
Burge Mark R, Eaton R Philip, Comerci George, Cavanaugh Brendan, Ramo Barry, Schade David S
机构信息
Division of Endocrinology, DoIM, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131.
Division of General Medicine, DoIM, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131.
出版信息
J Endocr Soc. 2017 Jun 1;1(6):588-599. doi: 10.1210/js.2016-1080.
BACKGROUND
The widespread availability of the coronary artery calcium scan to diagnose coronary artery atheroma semiquantitatively and its prognostic significance has frequently resulted in a difficult therapeutic decision for physicians caring for asymptomatic patients.
PATIENTS AND RISK FACTORS
Of particular concern are patients over 40 years of age and young adults characterized by multiple cardiovascular risk factors. The correct prognostic interpretation of coronary artery calcium scores and the potential benefits and risks of various therapeutic modalities need to be understood.
CONCLUSION
This review describes the therapeutic choices available to endocrinologists and provides recommendations for various treatment options.
背景
冠状动脉钙化扫描可广泛用于半定量诊断冠状动脉粥样硬化，其预后意义常常给无症状患者的主治医生带来艰难的治疗决策。
患者与风险因素
40岁以上患者以及具有多种心血管风险因素的年轻人尤其值得关注。需要了解冠状动脉钙化评分的正确预后解读以及各种治疗方式的潜在益处和风险。
结论
本综述描述了内分泌科医生可采用的治疗选择，并针对各种治疗方案给出建议。
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