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  2. 冠状动脉化的进展对冠状动脉和心血管事件风险预测的价值:hnr研究的结果 (海因茨·尼克斯多夫回忆)
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  2. 冠状动脉化的进展对冠状动脉和心血管事件风险预测的价值:hnr研究的结果 (海因茨·尼克斯多夫回忆)

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冠状动脉化的进展对冠状动脉和心血管事件风险预测的价值:HNR研究的结果 (海因茨·尼克斯多夫回忆)

Nils Lehmann1, Raimund Erbel2, Amir A Mahabadi3

  • 1Institute for Medical Informatics, Biometry and Epidemiology, University Duisburg-Essen, Germany (N.L. R.E., S. Moebus, A.S., U.R., K.-H.J.) nils.lehmann@uk-essen.de.

Circulation
|November 17, 2017

在PubMed 上查看摘要

概括
此摘要是机器生成的。

冠状动脉 (CAC) 进展算法为预测超出当前风险因素和基线CAC的心血管事件提供了有限的附加值. 最新的CAC评分和风险评估对于风险预测至关重要.

关键词:
动脉样硬化冠心疾病疾病的进展风险评估断层扫描血管化

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科学领域:

  • 心脏病学
  • 放射学
  • 预防医学

背景情况:

  • 计算机断层扫描 (CT) 可以评估冠状动脉 (CAC) 的进展.
  • 评估CAC进展算法对于完善基于人群的心血管风险预测至关重要.

研究的目的:

  • 评估各种CAC进展算法的冠状动脉和心血管事件的预测价值.
  • 为了确定CAC进展算法是否能比已确定的风险因素和基线CAC更好地预测风险.

主要方法:

  • 一组基于人口的3281名参与者 (45-74岁) 进行了连续CT扫描 (基线和5. 1岁).
  • 在平均7. 8年的随访期间记录了心血管事件.
  • 通过生存分析,C统计和重新分类措施评估了10个CAC进展算法.

主要成果:

  • 在随后发生冠状动脉事件的参与者中,绝对CAC进展显著增加.
  • 一些进展算法显示,总体心血管事件的预测值略有改善.
  • 包含5年CAC评分和风险因素的风险模型没有增加CAC进展.
  • 持续零CAC的参与者 (CACb=CAC5y=0) 的预后很好.
  • 显著增加的CAC (1-399至≥400) 几乎使冠状动脉和整体心血管风险翻了一番.

结论:

  • CAC的进展与心血管事件的发生率有关,但与当前的风险评估相比,其预测价值很小.
  • 最新的CAC评分和全面的风险因素评估对于准确的风险预测至关重要.
  • 在5年后重复CT扫描可能有价值,除了零CAC或已经高风险的个体.