澳大利亚背景下的症状性内动脉样硬化:在多个种族群体中常见且未被确诊
Davor Pavlin-Premrl1,2,3, Michael Waters4, Vincent Thijs2,5
1Department of Medicine and Neurology Melbourne Brain Centre at the Royal Melbourne Hospital University of Melbourne Parkville Australia.
Stroke (Hoboken, N.J.)
|January 29, 2026
概括
症状性内动脉样硬化 (ICAD) 影响澳大利亚14%的中风患者,临床医生和放射科医生诊断不足. 亚洲族裔与较高的ICAD病例率有关,这凸显了改善中风护理的需要.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 放射学 放射学是一门学科.
背景情况:
- 内动脉样硬化 (ICAD) 是全球中风的一个重要原因.
- 了解ICAD患病率和诊断对于预防和管理中风至关重要.
- 多民族人口在诊断血管疾病方面存在独特的挑战.
研究的目的:
- 确定澳大利亚多民族队列中中风患者有症状ICAD的比例.
- 评估中风医生和放射科医生的诊断准确度,以确定ICAD.
- 探索症状性ICAD患病率的种族差异.
主要方法:
- 在澳大利亚墨尔本进行了一项多中心回顾性队列研究.
- 症状性ICAD是由盲目的中风神经科医生使用CT血管学诊断的.
- 诊断率与放射学报告和临床笔记进行了比较.
主要成果:
- 在1328名中风患者中,有14%的患者有中央证实的症状ICAD.
- 在这些病例中,中风小组诊断了39%,放射科医生诊断了65%.
- 在亚洲 (21%) 和欧洲 (14%) 族裔的患者中,有症状的ICAD更为普遍.
结论:
- 内动脉样硬化在澳大利亚中风护理机构中经常被诊断不足.
- 在症状性ICAD的患病率上存在种族差异.
- 需要改善ICAD在不同患者群体中的诊断策略.
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