Karlsberg Ronald P, Cho Geoffrey W, Aldana-Bitar Jairo
Cedars Sinai Heart Institute, Los Angeles, CA, USA.
University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
Cardiol Res. 2024 Dec;15(6):415-424. doi: 10.14740/cr1721. Epub 2024 Dec 3.
Cardiovascular disease remains the leading cause of death in the United States and globally. Significant advances have been made throughout the history of cardiology and the treatment of this disease; however, these efforts have not halted the alarming statistics. Emerging approaches, such as artificial intelligence applied to cardiac imaging, genetic testing, and genetic silencing, may offer essential additional steps in treating the disease. Moreover, new pathways of the disease are being identified, which differ from traditional risk factors and offer a fresh, innovative approach. This paper focuses on a novel strategy that includes identifying and treating multiple pathways of the disease using both new and traditional interventions. These interventions include plaque-directed therapy rather than surrogate therapy, with the potential to mitigate consequences and possibly eradicate the disease through personalized, multi-approach treatments similar to those used in cancer treatment.
心血管疾病仍然是美国乃至全球的主要死因。在心脏病学历史以及该疾病的治疗方面已经取得了重大进展;然而,这些努力并未阻止令人担忧的统计数据。诸如应用于心脏成像、基因检测和基因沉默的人工智能等新兴方法,可能为治疗该疾病提供重要的额外步骤。此外,正在发现该疾病的新途径,这些途径不同于传统风险因素,并提供了一种全新的创新方法。本文重点关注一种新策略,该策略包括使用新的和传统的干预措施来识别和治疗该疾病的多种途径。这些干预措施包括针对斑块的治疗而非替代治疗,有可能减轻后果,并有可能通过类似于癌症治疗中使用的个性化、多方法治疗来根除该疾病。