在30至59岁的美国成年人中,有30年的动脉样硬化心血管疾病风险
Timothy S Anderson1,2,3, Linnea M Wilson4, Jeremy B Sussman5,6
1Division of General Internal Medicine (T.S.A.), University of Pittsburgh, PA.
Circulation. Population health and outcomes
|February 13, 2026
概括
2023年心血管疾病事件方程显示,许多美国成年人有10年低,但30年高的动脉样硬化心血管疾病 (ASCVD) 风险. 这凸显了对这一群体加强初级预防策略的需要.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 2023年预测心血管疾病风险事件方程估计了30至59岁成年人的30年动脉样硬化心血管疾病 (ASCVD) 风险.
- 这些方程旨在为处于风险的个体做出预防性治疗决策.
研究的目的:
- 在符合条件的美国成年人群中描述30年ASCVD风险.
- 识别具有10年低,但30年高ASCVD风险的个体,以进行有针对性的预防.
主要方法:
- 从国家健康和营养检查调查 (2017-2020) 中分析30-59岁没有已知的ASCVD的成年人.
- 使用调查权重对10年和30年ASCVD风险和风险因素控制的全国代表性估计.
- 在30年高ASCVD风险 (≥20%) 的群体中,估计使用他类药物的绝对风险降低.
主要成果:
- 这项研究包括3229名参与者,代表1.09亿美国成年人.
- 平均10年ASCVD风险为2.0%,而平均30年风险为9.7%.
- 在那些30年高ASCVD风险 (9%的人口) 的人中,只有32.4%的人报告使用他类药物,许多人患有高血压和肥胖等不受控制的风险因素.
结论:
- 30年ASCVD风险方程确定了具有短期风险低但长期风险高的显著人群.
- 这些发现表明,对于30年ASCVD风险较高的成年人,需要加强初级预防策略.
- 将他类药物的使用扩展到这个群体可能会影响250万成年人的建议.
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