在非传统的临床场景中,心脏清除的实践方法
Ethan F Kramer1, Jacob C Ricci1, Krunal Shukla2
1College of Medicine, University of Florida, Gainesville, USA.
The American journal of medicine
|August 2, 2025
概括
临床医生经常寻求心脏清除程序没有明确的指导方针. 本综述为六种新的非心脏情景提供了管理建议,强调了以患者为中心的心血管风险评估方法.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 医疗决策的制定 医疗决策的制定
背景情况:
- 许多非心脏手术和活动缺乏心血管风险评估的既定指南.
- 之前的工作确定了六个"非传统"的心血管风险评估请求.
- 作者继续收到新的和复杂的转介请求.
研究的目的:
- 审查文献,并为6种额外的"非传统"心血管风险评估场景提供管理建议.
- 解决新兴疗法和促使心脏清除调查的活动.
- 引导临床医生以患者为中心进行心血管风险评估.
主要方法:
- 对特定非心脏手术和活动的现有证据的文献综述.
- 分析作者收到的现实世界转诊病例.
- 根据生理学原则和现有数据制定管理建议.
主要成果:
- 建议提供了高压氧气疗法,胺疗法,抗精神病疗法和对胸部的质子疗法.
- 讨论了执法人员和保龄球对心血管风险评估的考虑.
- 标准化,以患者为中心的方法的需要得到了加强.
结论:
- 对心血管风险评估的系统方法对于各种临床情景至关重要.
- 了解程序,生理学和文献是明智决策的关键.
- 这项工作扩大了对"非传统"心血管风险评估的指导.
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