性心脏综合征:流行病学,病理生理学和临床检测
Richard L Verrier1, Steven C Schachter2,3
1Departments of Medicine, Harvard Medical School and Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, United States.
患有慢性的患者面临更高的心血管事件的风险,由于效应和药物. 这篇评论介绍了"性心脏综合征",提出了用于减少患者心脏死亡率的诊断方法.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 人口研究表明,慢性患者心血管事件的发生率较高.
- 病理生理机制包括加速动脉样硬化,心肌梗塞,自主功能障碍,心力衰竭,心律失常和高脂血症.
- 这些心血管问题与发作诱导的甲基胺激增和低血量心脏损伤有关.
研究的目的:
- 提出一个统一的概念,
- 性心脏综合征, 性心脏综合征,
- 描述慢性患者的复杂心血管风险.
- 概述诊断策略,以评估这一群体的心脏风险.
主要方法:
- 对中心血管并发症的现有文献的综述.
- 分析,,抗药物和心脏事件之间的病理生理联系.
- 建议使用标准心电图,心声图和脂质面板的诊断标准.
主要成果:
- 慢性与多种心血管风险有关,包括加速动脉样硬化和心律失常.
- 抗发作药物可以通过增加血脂或引起心律失常来加剧心脏病.
- 拟议的诊断方法旨在识别有风险的个体.
结论:
- 患者心血管问题的星座可以被概念化为"性心脏综合征".
- 标准的诊断工具可以帮助识别这种综合征.
- 早期诊断和风险分层对于减少患者过早心脏死亡至关重要.
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