对心血管疾病终身风险的评估:是时候向前迈进了
Evangelia G Sigala1, Demosthenes B Panagiotakos1
1Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University of Athens, 70 El. Venizelou, Kallithea, 176 76, Athens, Greece.
Current cardiology reviews
|July 4, 2024
概括
终身心血管疾病 (CVD) 风险评估对于识别高风险个体,特别是年轻人至关重要. 新模型通过考虑竞争风险和左切割来提高准确性,以改善公共卫生监测.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVD) 的风险正在增加,即使在年轻人群中也是如此.
- 传统的10年风险评估不足以确定高风险的年轻人.
- 新的公共卫生挑战需要更新心血管疾病预防策略.
研究的目的:
- 审查常用的终身心血管疾病风险评估工具.
- 阐明这些工具的方法考虑和局限性.
- 讨论将终身风险评估纳入临床实践的理由.
主要方法:
- 审查关于终身心血管疾病风险预测模型的现有文献.
- 方法优势的分析,包括处理左切断和竞争风险.
- 评估这些模型是否适用于临床应用和公共卫生监测.
主要成果:
- 与传统方法相比,终身心血管疾病风险模型为年轻人提供了更好的歧视.
- 这些模型结合了先进的生存分析技术,考虑了左切断和竞争风险.
- 终身风险数据为风险沟通和公共卫生监测提供了有价值的工具.
结论:
- 主要心脏病学指南建议对年轻人进行终身心血管疾病风险评估.
- 需要方法协调,以开发特定于性别和种族的工具,以准确识别心血管疾病风险.
- 将终身风险评估纳入临床实践可以加强心血管疾病预防工作.
更多相关视频
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
311
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
311
Assessment of the Cardiovascular System II: Inspection
216
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
216
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
125
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
125
Relative Risk
143
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
143
Imaging Studies for Cardiovascular System III: X-Ray
169
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
169


