用心电图进行心血管疾病风险查:美国预防服务工作组建议声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|June 14, 2018
概括
没有症状的成年人用心电图 (ECG) 查心血管疾病 (CVD) 不推给低风险的个体. 对于中等或高风险的成年人来说,证据不足,潜在的危害超过了益处.
科学领域:
- 心血管医学
- 预防性心脏病学
- 诊断测试
背景情况:
- 心血管疾病 (CVD) 是美国的主要死亡原因,像Framingham风险评分这样的风险评估工具指导预防策略.
- 目前关于预防心脏病的指导方针依赖于风险分层来决定无症状成年人的治疗.
研究的目的:
- 更新美国预防服务工作组 (USPSTF) 关于使用心电图 (ECG) 进行冠心病查的建议.
- 评估心电图查与无症状成年人的传统风险评估的有效性.
主要方法:
- 对无症状成年人的休息或运动心电图查的证据进行系统审查.
- 仅使用心电图查和常规心血管疾病风险评估对健康结果进行比较.
主要成果:
- 对于低风险的无症状成年人来说,心电图查提供了超出现有风险评估的最小益处,并带有后续侵入性手术的潜在危害.
- 对于中期和高风险无症状的成年人,证据不足以确定心电图查是否改善了风险管理或减少了心血管疾病事件.
结论:
- 由于不太可能的益处和潜在的危害,USPSTF建议不对低风险的无症状成年人进行心电图查.
- USPSTF发现没有足够的证据来评估中等或高风险无症状成年人的心电图查的益处和危害.
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