[下肢外周动脉疾病:从诊断到治疗]
Sanjiv Keller1, Luca Calanca1, Enrica Porceddu1
1Service d'angiologie, Département cœur-vaisseaux, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue medicale suisse
|December 8, 2023
概括
尽管有指导方针,但对外围动脉疾病 (PAD) 的诊断和治疗仍然不足. 早期查,风险因素管理,改变生活方式和运动对PAD患者至关重要. 重新血管化的决定是个性化的.
科学领域:
- 血管医学 血管医学
- 心血管疾病管理管理
背景情况:
- 周围动脉疾病 (PAD) 很普遍,但诊断和治疗往往没有达到当前的建议.
- 对于患有下肢症状 (如音) 和具有危险因素的人,建议对PAD进行查.
研究的目的:
- 为了呈现PAD的诊断算法.
- 概述PAD的综合疾病管理原则.
主要方法:
- 审查当前的国家和国际PAD建议.
- 开发一个诊断算法.
- 管理策略概述,包括风险因素修改,生活方式改变,运动和抗血栓治疗.
主要成果:
- 所有PAD患者的初始治疗包括解决心血管风险因素,改变生活方式,炼和对症状病例进行抗血栓治疗.
- 在多学科框架内,根据疾病严重程度,将重血管化个别考虑.
结论:
- 需要加强对PAD查和管理指南的遵守.
- 结构化的诊断和管理方法可以优化周围动脉疾病的患者结果.
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