与SCORE相比,估计脉冲波速率的值在社区药房心血管风险分层中的估计值
Enrique Rodilla1, Manuel Adell2, Vicente Baixauli2
1Internal Medicine Department, Hypertension and Vascular Risk Unit, Hospital Universitario de Sagunto, Sagunto, Spain; Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
Medicina clinica
|September 21, 2023
概括
与SCORE方法相比,在社区药房估计动脉硬度显著改善了心血管风险检测. 这种方法可以识别更多的高风险个体,特别是那些在SCORE之外的人.
科学领域:
- 心血管疾病风险分层心血管疾病风险分层.
- 血管健康评估 血管健康评估
- 流行病学研究是流行病学研究.
背景情况:
- 动脉硬是心血管 (CV) 风险的一个关键指标.
- 当前的风险评估工具,如SCORE,有其局限性.
- 社区药房提供可访问的健康查点.
研究的目的:
- 评估动脉硬度估计是否增强了社区药房设置中超越SCORE系统的CV风险分层.
- 为了比较动脉硬的诊断产量与SCORE用于识别高风险个体.
主要方法:
- 进行了一项观察性,前性流行病学研究.
- 用振荡计测量脉冲波速度,以估计动脉硬度.
- 用动脉硬度和SCORE系统对心血管风险进行了分层.
主要成果:
- 招募了923名患者;其中18.1%的太年轻/太老的Score显示动脉损伤.
- 在符合SCORE要求的患者中,9.6%患有病理性动脉硬,相比之下,2.1%的患者被SCORE确定为高风险.
- 动脉硬性检测到高心血管风险在比Score更大比例的患者.
结论:
- 在社区药房进行的动脉硬度估计显著改善了对高心血管风险的检测.
- 这种方法对于不符合SCORE年龄标准的人来说尤其有价值.
- 社区药房可以在提高CV风险评估方面发挥重要作用.
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