优先考虑心力衰竭的初级预防:测量,修改和监测风险
Ruchi Patel1, Tejasvi Peesay1, Vaishnavi Krishnan2
1Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Progress in cardiovascular diseases
|January 25, 2024
概括
对于风险较高的人来说,初级预防心力衰竭至关重要. 早期风险识别和新型治疗方法可以减少症状性HF的进展,远程医疗改善了获得护理的机会.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 发病率的上升需要初级预防策略.
- 专注于早期阶段 (A阶段和B阶段),以防止进展到症状性HF (C阶段).
- 与HF相关的发病率,死亡率和医疗保健成本的增加.
研究的目的:
- 概述一种基于风险的方法,用于初级HF预防.
- 强调识别传统和非传统风险因素的重要性.
- 讨论当前和未来的降低HF风险的策略.
主要方法:
- 风险评估使用传统因素 (生活必需品8),社会决定因素,心肌病和增加风险的因素.
- 使用指导方针认可的工具,如聚合队列方程,来量化风险.
- 探索新型疗法 (MRA,RNAI,SGLT2抑制剂) 和远程医疗,以改善获取.
主要成果:
- 综合性风险识别是预防HF的第一步.
- 准则认可的工具量化绝对的HF风险.
- 新型疗法和远程医疗在降低风险和获得医疗服务方面表现有前途.
结论:
- 基于风险的初级预防是减少HF负担的关键.
- 整合基因组学,人工智能和远程医疗可以增强未来的HF预防策略.
- 制定指导方针导向的医疗治疗对于A期和B期肝炎患者至关重要.
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