基于风险查策略的心血管疾病预防的健康计划,使用脚-手臂指数:HELENA研究协议
Gina Domínguez-Armengol1,2, Francesc Ribas-Aulinas1,2, Elisabet Balló3
1Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona, Catalonia, Spain.
Frontiers in public health
|June 16, 2025
概括
将脚-手臂指数 (ABI) 查整合到冠心病 (CHD) 预防中,可以识别更多高风险个体. 这改善了心血管风险分类,并减少了50-74岁成年人心血管疾病的发病率和死亡率.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 当前冠心病 (CHD) 风险功能经常错过那些将经历心血管 (CV) 事件的人.
- 无症状的外周动脉疾病 (PAD) 是一种被诊断不足的疾病,增加了心血管风险.
- 有效的初级预防策略需要改进心血管风险分类.
研究的目的:
- 评估将脚-手腕指数 (ABI) 查计划纳入现有的心脏病风险检测程序的有效性.
- 为了确定患有无症状PAD的高风险人群.
- 降低50-74岁人群中心脏病发病率和死亡率.
主要方法:
- 一个实用的随机集群试验,涉及274个初级保健中心.
- 两个组:当前的CHD风险策略与当前的策略加上PAD的ABI查.
- 在50-74岁的患者中,CHD风险≥7%和PAD风险≥7%的患者使用ABI进行了评估.
- ABI ≤ 0.9导致了心脏病风险重新分类和基于指南的建议.
主要成果:
- 该研究旨在证明直接改善健康状况,包括减少心脏病发病率和更好地控制心血管风险因素.
- 预期的结果包括减少主要不良心血管事件 (MACE) 和全因死亡率.
- 该项目解决了在COVID-19后恢复和加强心血管风险预防工作的需要.
结论:
- 整合ABI查可以显著提高对心血管事件高风险个体的识别.
- 这一战略有可能改善心血管风险管理,降低相关死亡率.
- 这些发现将有助于恢复和加强预防性心脏病服务.
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