在皮肤冠状动脉干预后高风险患者的常规功能测试或标准护理
Nouman Arshad1, Indah Sukmawati2, Upul Wickramarachchi3,4
1Kettering General Hospital, Rothwell Road, Kettering, NN16 8UZ, UK.
Current cardiology reports
|May 9, 2024
概括
通过皮肤冠状动脉干预 (PCI) 后的常规功能应激测试与症状导向测试相比没有减少心血管事件. 目前的指导方针不建议在PCI后的稳定患者进行常规的定期压力测试.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 临床试验 临床试验
背景情况:
- 穿皮冠状动脉干预 (PCI) 是冠状动脉疾病的常见程序.
- 接受PCI的高风险患者通常会接受后续护理,包括压力测试.
- 对于PCI后监测的最佳策略仍然是一个研究领域.
研究的目的:
- 审查常规功能应力测试与PCI后高风险患者的标准症状导向测试的证据.
- 评估这些策略对临床结果的影响.
主要方法:
- 对现有证据进行系统审查.
- 对实用性POST-PCI试验数据的分析.
主要成果:
- 在POST-PCI试验中,通过例行功能应力测试与症状导向测试,在2年内,缺血性心血管事件或死亡率没有显著减少.
- 这些发现适用于各种子组,包括患有多血管疾病,糖尿病的患者,以及接受成像或生理引导PCI的患者.
- 目前的美国指导方针不建议在稳定的PCI后患者接受指导方针导向医疗治疗时进行例行定期压力测试,除非临床状态发生变化.
结论:
- 在PCI后的常规功能性应激测试似乎没有改善主要的不良心血管结果,而不是以症状为导向的方法.
- 需要对成本效益进行进一步的研究.
- 干预是必要的,以制常规功能应力测试的不适当使用.
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