成年人患有先天性心脏病的冠状动脉疾病
Salvatore De Rosa1, Jolanda Sabatino2, Giovanni Di Salvo3
1Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.
International journal of cardiology. Congenital heart disease
|December 23, 2024
概括
患有先天性心脏病 (ACHD) 的成年人面临冠状动脉疾病 (CAD) 的风险增加. 早期查和心血管风险因素的管理对于这个不断增长的人口至关重要.
科学领域:
- 心脏病学 心脏病学
- 成年人的先天性心脏病
- 心血管疾病 心血管疾病
背景情况:
- 成年患有先天性心脏病 (ACHD) 的患者人数正在增长.
- 这些患者患冠状动脉疾病 (CAD) 和其他动脉样硬化心血管疾病的风险增加.
- 这种增加的风险与长时间暴露于心血管风险因素有关.
研究的目的:
- 总结关于ACHD患者CAD的关键证据.
- 强调早期查和管理心血管风险因素在ACHD中的重要性.
- 提高心脏病专家对ACHD患者独特的CAD风险和特征的认识.
主要方法:
- 对ACHD患者的CAD现有文献的综述.
- 综合证据关于心血管风险因素及其对ACHD的影响.
- 在 ACHD 中识别特定的 CAD 呈现.
主要成果:
- 与普通人群相比,ACHD患者患CAD的风险更高.
- 特定的患者子组 (年轻人,女性,复杂/严重的心脏病) 可能有更高的CAD风险.
- 患有 CAD 的 ACHD 患者往往具有独特的临床特征.
结论:
- 早期查和主动管理心血管风险因素对于ACHD患者至关重要.
- 所有心脏病专家都应该对CAD风险和ACHD患者群体的具体考虑有更广泛的了解.
- 需要进一步的研究来阐明ACHD中CAD风险升高背后的机制.
相关概念视频
Ischemic Heart Disease: Overview
1.2K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.2K
Coronary Circulation
2.2K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
2.2K
Imbalances in Cardiac Output
1.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.3K
Imaging Studies for Cardiovascular System III: X-Ray
142
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...
142
Imaging Studies for Cardiovascular System V: CT
1
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
1
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
1
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
1


