从胸痛到冠心功能测试:冠心微血管功能障碍的临床和经济影响
Ilan Merdler1, Ryan Wallace1, Andrew P Hill1
1Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
概括
诊断冠状动脉微血管功能障碍 (CMD) 需要一个漫长的病人旅程与多个测试和高成本. 早期的CMD诊断可以减少急诊,手术和医疗费用.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 通过功能测试进行冠状动脉微血管功能障碍 (CMD) 诊断可以减少心血管事件和心痛.
- 患有CMD的患者经历了一个复杂的诊断旅程,从最初的胸痛到诊断.
研究的目的:
- 为了研究患者从胸痛开始到冠状动脉微血管功能障碍诊断的旅程.
- 分析诊断过程,医疗保健利用和与CMD相关的成本.
主要方法:
- 来自冠状动脉微血管疾病登记处 (CMDR) 的数据分析,其中包括61名冠状动脉疾病患者.
- 诊断时间的评估,急诊室的访问,住院和诊断测试.
- 估计每位患者的医疗保健总费用.
主要成果:
- 从胸痛到心血管疾病诊断的中位时间为0.62年,涉及多项测试和急诊.
- 许多患者在没有功能测试的情况下接受了侵入性手术,如左心导管注射.
- 显著的医疗保健利用包括转介到其他专业和大量成本 (~2000美元/患者).
结论:
- 及时识别CMD对于缓解症状至关重要.
- 及时诊断可以减少急诊室的访问,心血管检测和侵入性手术.
- 早期的CMD诊断导致医疗保健费用减少.
相关概念视频
01:26Exercise Stress Test
203
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
203
01:17Imaging Studies for Cardiovascular System I:Echocardiography
320
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
320
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
144
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
144