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Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

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Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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完善艾卡迪综合征诊断标准:一个基于专家的共识,使用修改后的Delphi方法.

Silvia Masnada1, Valentina De Giorgis2, Umberto Carugo3

  • 1Pediatric Neurology Unit, V. Buzzi Children's Hospital, Milan, Italy.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
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概括

这项研究建立了专家对艾卡迪综合征 (AIC) 诊断标准的共识,这是一种罕见的神经发育障碍. 新的标准包括大脑形和认知障碍,改进了对这种极为罕见的疾病的诊断.

关键词:
艾卡迪综合征 (Aicardi syndrome) 是一种心脏病综合征.大脑形 脑形德尔菲的方法方法德尔菲方法.专家的共识 专家的共识神经发育障碍 神经发育障碍诊断标准 诊断标准 诊断标准 诊断标准

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科学领域:

  • 神经学 神经学
  • 遗传学 是一个遗传学.
  • 发育生物学 发展生物学

背景情况:

  • 艾卡迪综合征 (AIC) 是一种罕见的神经发育障碍,具有历史定义的诊断特征.
  • 不清楚的病因和不断发展的诊断工具需要更新AIC的标准.
  • 之前AIC的诊断标准是基于个别方法.

研究的目的:

  • 建立第一个基于专家的对艾卡迪综合征 (AIC) 诊断标准的共识.
  • 整合AIC的现有和新型诊断功能.
  • 在临床实践中为AIC制定主要,支持和警报标准的共识.

主要方法:

  • 一个经过修改的Delphi研究,涉及55名专家医生组成的多学科,地理多样化的小组.
  • 在AIC的主要,支持性和警报性诊断标准上达成共识.
  • 由于疾病的稀有性和数据异质性,没有设计一个固定的诊断算法.

主要成果:

  • 在AIC症状的历史三位一体上达成共识.
  • 对AIC的新主要标准包括同时存在的大脑形和认知障碍.
  • 确定了用于AIC诊断的额外支持特征和警报标准 (红旗).

结论:

  • 德尔菲方法成功地实现了AIC诊断标准的专家共识.
  • 限制包括AIC的超稀有性质和专家经验和代表性的潜在变化.
  • 需要进行持续的研究来验证和完善AIC标准,特别是随着遗传学和神经学知识的进步.