肥胖对心血管诊断的实际影响
Paul Poirier1, Carl J Lavie2, Kim Connelly3
1Faculté de pharmacie, Université Laval, Institut universitaire de cardiologie et de pneumologie de Québec, Québec City, Québec, Canada.
The Canadian journal of cardiology
|July 14, 2025
概括
肥胖严重影响心血管疾病 (CVD) 诊断测试的准确性. 本综述提供了优化肥胖患者心血管疾病测试的实用策略,改善诊断产量和患者护理.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 肥胖医学 肥胖医学
背景情况:
- 肥胖是一个重大的全球健康挑战,与心血管疾病 (CVD) 发病率和死亡率有着深刻的联系.
- 肥胖在心血管 (CV) 诊断测试中提出了独特的挑战,影响了测试选择,执行和解释.
- 生理和技术上的局限性源于肥胖个体的结构和代谢变化,影响心血管结构,功能和测试准确性.
研究的目的:
- 为各种心血管诊断模式提供肥胖对各种心血管诊断模式的实际影响的全面审查.
- 为优化肥胖患者心血管检测提供实用框架和具体建议.
- 在这个不断增长的患者群体中,提高CV测试的诊断产量和性能.
主要方法:
- 关于肥胖对心血管诊断方式的影响的当前文献的综述.
- 详细检查身体检查,心电图,心声图,核应激成像,CT,PET,冠状动脉评分和MRI.
- 包括针对肥胖患者的测试选择,应用和解释的实际建议.
主要成果:
- 肥胖在所有主要的CV诊断测试中都带来了特定的挑战.
- 现代技术,系统方法和个性化的协议可以显著提高测试性能.
- 优化测试策略对于对肥胖个体进行准确的心血管疾病评估至关重要.
结论:
- 尽管存在挑战,但通过量身定制的方法,可以显著改善肥胖患者的心血管诊断测试.
- 一个有组织和个性化的策略可以提高日益增长的肥胖人口中心血管疾病的诊断产量.
- 本综述为管理肥胖患者心血管诊断的临床医生提供了必要的指导.
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