二次预防在冠状动脉心脏病中的重要性
Svetlana Mosteoru1,2, Nilima Rajpal Kundnani2,3, Andreea Rus1
1Ph.D. School Department, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Medicina (Kaunas, Lithuania)
|November 27, 2025
概括
罗马尼亚冠状动脉心脏病 (CHD) 患者的心血管风险因素仍然控制不良,这表明需要改进二次预防策略. 这项研究突出了中心层面的机会,以更好地管理心脏病患者可修改的风险因素.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 冠心病 (CHD) 管理需要持续监测心血管风险因素 (RFs).
- 在心血管疾病患者中,二次预防对于降低发病率和死亡率至关重要.
- 在常规门诊环境中评估射频控制,为现实世界临床实践提供了见解.
研究的目的:
- 在例行门诊诊期间评估心血管射频的记录和控制在已确定的心脏病患者中.
- 将发现与来自SURF-CHD注册表的欧洲数据进行比较.
- 确定需要改进的二级预防领域在三级护理中心.
主要方法:
- 研究了一组连续136名冠状动脉疾病 (CAD) 患者 (18-80岁) 的队列.
- 患者被诊断为急性冠状动脉综合征或稳定性胸痛,接受PCI或CABG治疗.
- 数据收集是在2019年5月至2020年7月的常规门诊检查期间进行的.
主要成果:
- 研究群体包括81%的男性,平均年龄为61.7岁;93.4%接受了PCI.
- 很大一部分患者有无法控制的风险因素:25%是目前的吸烟者,50%是前吸烟者,平均BMI为29.9.
- 缺血脂症 (80.1%没有先前病史),高血压 (62.5%没有先前病史) 和糖尿病 (84.6%没有先前病史) 的控制率低于最佳.
- 平均的LDL胆固醇为93.55 mg/dL,HbA1c为7.86%,静脉压为129 mmHg.
结论:
- 尽管已经确立了心血管疾病,但在这个单中心审计中,几个可修改的心血管射频被低于最佳控制.
- 研究结果表明,有机会在中心层面加强二次预防.
- 该研究强调了罗马尼亚需要多中心,具有全国代表性的注册表,以获得更广泛的见解.
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