Coroscan 可用于大规模筛查，以预防急性冠状动脉综合征和缺血性心力衰竭吗？

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2024-09-21 DOI:10.1016/j.ancard.2024.101807

Adrien Pasteur-Rousseau , Karam Souibri , Fabien Vannier , Laurent Sebagh

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引用次数: 0

摘要

冠状动脉 CT 扫描可对冠状动脉粥样硬化的各个阶段进行无创观察，以便及早采取治疗干预措施、改变生活方式和进行准确随访，从而改善预后。我们讨论了在特定年龄段，如 50 岁或 60 岁（或两者），对全球人口进行系统冠状动脉 CT 扫描的可能性。这一策略能否减少心肌梗死或缺血性慢性心力衰竭的发病率，从而提高生活质量（和数量）？它还能降低个人和社会的医疗费用吗？在技术上是否有可能实施这种战略？在实施过程中会遇到哪些障碍？

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Le coroscanner peut-il être réalisé en dépistage à grande échelle en prévention des syndromes coronaires aigus et de l'insuffisance cardiaque ischémique ?

Coronary CT-Scan permits non-invasive visualization of all stages of coronary artery atherosclerosis allowing early therapeutic interventions, lifestyle changes and accurate follow-up all of which result in an improved prognosis. We discuss the possibility of a systematic coronary CT-scan in the global population at certain ages such as fifty or sixty years-old (or both). May this strategy decrease the onset of myocardial infarction or ischemic chronic heart failure thus improving quality (and quantity) of life? May it also reduce the medical costs for the individual and the society? Is it technically possible to deploy such a strategy? What would be the obstacles for its set up and what solutions might be proposed?

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.