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Updated: Jan 31, 2026
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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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慢性病查以降低心血管风险:呼吁采取行动
Erin D Michos1, David Cherney2, Pam Kushner3
1Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Blalock 524-B, 600 N Wolfe Street, Baltimore, MD 21287, USA.
American journal of preventive cardiology
|January 30, 2026
概括
慢性病 (CKD) 影响着数以百万计的人,往往没有被诊断出来. 早期查使用估计的淋巴膜过率 (eGFR) 和尿中的白蛋白与肌素比率 (UACR) 对于管理心风险和改善结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 是一个普遍存在的全球健康问题,影响美国大约七分之一的成年人.
- 很大一部分患有CKD的人仍然未被诊断,这增加了他们患心血管疾病 (CVD) 和心力衰竭的风险.
- 慢性病患者更有可能屈服于心血管疾病,而不是达到末期病.
研究的目的:
- 强调早期CKD诊断和管理的关键需要.
- 以估计膜过率 (eGFR) 和尿白蛋白与肌素比率 (UACR) 的双重查的重要性.
- 倡导改善护理标准,以减少心脏脏风险并改善患者的治疗结果.
主要方法:
- 该研究审查了CKD管理的当前方法,重点是对eGFR和UACR的双重评估.
- 它检查了双重查的不足,尽管它在风险分层中的重要性.
- 讨论了针对各种病理途径的基于证据的疗法,以减少心脏脏风险.
主要成果:
- 对eGFR和UACR的双重评估对于CKD的风险评估和治疗指南至关重要.
- 尽管可以修改的风险因素,但对CKD的双重查仍未得到充分利用.
- 结合基于证据的疗法可以显著降低被诊断为CKD患者的心脏病风险.
结论:
- 发出了一项行动呼吁,以加强CKD诊断和管理标准.
- 通过初级保健和心脏病学实施指导方针导向疗法,可以减轻CKD进展和不良心血管事件.
- 改进的护理策略对于尽量减少并发症和改善患者整体预后至关重要.
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