Chaiter Yoram, Fink Daniel Lyon, Machluf Yossy
The Israeli Center for Emerging Technologies in Hospitals and Hospital-Based Health Technology Assessment, Shamir (Assaf Harofeh) Medical Center, Zerifin 7030100, Israel.
Department of Pediatric Cardiology Unit, HaEmek Medical Center, Afula 1834111, Israel.
World J Clin Cases. 2024 Sep 26;12(27):6032-6044. doi: 10.12998/wjcc.v12.i27.6032.
The field of vascular medicine has undergone a profound transformation in the 21 century, transforming our approach to assessment and treatment. Atherosclerosis, a complex inflammatory disease that affects medium and large arteries, presents a major challenge for researchers and healthcare professionals. This condition, characterized by arterial plaque formation and narrowing, poses substantial challenges to vascular health at individual, national, and global scales. Its repercussions are far-reaching, with clinical outcomes including ischemic heart disease, ischemic stroke, and peripheral arterial disease-conditions with escalating global prevalence. Early detection of vascular changes caused by atherosclerosis is crucial in preventing these conditions, reducing morbidity, and averting mortality. This article underscored the imperative of adopting a holistic approach to grappling with the intricacies, trajectories, and ramifications of atherosclerosis. It stresses the need for a thorough evaluation of the vasculature and the implementation of a multidisciplinary treatment approach. By considering the entire vascular system, healthcare providers can explore avenues for prevention, early detection, and effective management of this condition, ultimately leading to improved patient outcomes. We discussed current practices and proposed new directions made possible by emerging diagnostic modalities and treatment strategies. Additionally, we considered healthcare expenditure, resource allocation, and the transformative potential of new innovative treatments and technologies.
血管医学领域在21世纪经历了深刻变革，改变了我们的评估和治疗方法。动脉粥样硬化是一种影响中大型动脉的复杂炎症性疾病，对研究人员和医疗保健专业人员构成了重大挑战。这种以动脉斑块形成和狭窄为特征的疾病，在个体、国家和全球范围内给血管健康带来了巨大挑战。其影响深远，临床后果包括缺血性心脏病、缺血性中风和外周动脉疾病，这些疾病在全球的患病率不断上升。早期发现动脉粥样硬化引起的血管变化对于预防这些疾病、降低发病率和避免死亡至关重要。本文强调了采取整体方法应对动脉粥样硬化的复杂性、发展轨迹和影响的必要性。它强调需要对脉管系统进行全面评估，并实施多学科治疗方法。通过考虑整个血管系统，医疗保健提供者可以探索预防、早期发现和有效管理这种疾病的途径，最终改善患者的治疗效果。我们讨论了当前的做法，并提出了由新兴诊断方式和治疗策略带来的新方向。此外，我们还考虑了医疗支出、资源分配以及新创新治疗方法和技术的变革潜力。
