在糖尿病患者中查冠状动脉疾病
Antti Saraste1,2, Juhani Knuuti3, Jeroen Bax4,5
1Heart Center, Turku University Hospital and University of Turku, Hämeentie 11, Turku, 20520, Finland. antti.saraste@utu.fi.
Current cardiology reports
|November 20, 2023
概括
在无症状糖尿病患者中检测亚临床冠状动脉疾病 (CAD) 使用成像. 尽管风险分层,但由于对结果的影响有限,不建议对CAD进行常规查.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 糖尿病管理 糖尿病管理
背景情况:
- 亚临床冠状动脉疾病 (CAD) 很普遍,特别是在糖尿病患者中.
- 冠状动脉样硬化影响42.1%的50-64岁的人,阻塞性CAD在5.2%.
研究的目的:
- 审查在糖尿病无症状患者中检测亚临床冠状动脉疾病 (CAD) 的方法.
- 讨论这些检测方法对患者管理和结果的影响.
主要方法:
- 非侵入性成像工具包括心肌缺血评估,冠状动脉分数和冠状动脉计算机断层扫描血管学.
- 对冠状动脉样硬化和阻塞性CAD在一般和糖尿病人群中的流行数据的分析.
主要成果:
- 亚临床CAD在糖尿病患者中比一般人群更常见.
- 心肌缺血,阻塞性CAD和动脉样硬化程度是心血管事件的强有力的预测因素.
- 随机试验显示系统性CAD查对患者管理和结果的影响有限.
结论:
- 虽然成像工具为糖尿病患者的心血管事件提供风险分层,但目前不建议对CAD进行系统查.
- 可能需要进一步的研究来澄清查在特定高风险子组中的作用.
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