基于病例的慢性冠心病患者管理方法：2023 AHA/ACC 指南的更新。

IF 2.5 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

American Journal of Medicine Pub Date : 2025-02-01 DOI:10.1016/j.amjmed.2024.09.013

Yoo Jin Kim MD , Jasmine Malhi MD , Jeff Trost MD , Thorsten Leucker MD, PhD , Salim S. Virani MD , L. Kristin Newby MD , Roger S. Blumenthal MD , Essa Hariri MD, MSc

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引用次数: 0

摘要

2023 年美国心脏协会 (AHA) / 美国心脏病学会 (ACC) 多协会《慢性冠心病患者管理指南》对慢性冠心病患者的护理进行了重要更新 (1)。这些指南的建议为以下患者的治疗提供了参考：(1) 无症状冠状动脉疾病；(2) 稳定型心绞痛或同等症状（如劳累后呼吸困难）；(3) 无症状非阻塞性冠状动脉疾病，包括冠状动脉微血管功能障碍和血管痉挛；(4) 左心室收缩功能障碍伴已知冠状动脉疾病。在本综述中，我们旨在通过以下四个假设病例来展示 2023 年指南中的主要建议。

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A Case-Based Approach to the Management of Patients with Chronic Coronary Disease: Updates from the 2023 AHA/ACC Guidelines

The 2023 American Heart Association (AHA)/American College of Cardiology (ACC) Multisociety Guideline for the Management of Patients with Chronic Coronary Disease presents important updates to the care of patients with chronic coronary disease. The recommendations of these guidelines inform the care for patients with 1) asymptomatic coronary artery disease, 2) stable angina or equivalent symptoms (e.g., dyspnea upon exertion), 3) symptomatic nonobstructive coronary disease including coronary microvascular dysfunction and vasospasm, and 4) left ventricular (LV) systolic dysfunction with known coronary artery disease. In this review, we aim to demonstrate key recommendations in the 2023 guideline using the following four hypothetical cases.

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来源期刊

American Journal of Medicine 医学-医学：内科

CiteScore

6.30

自引率

3.40%

发文量

449

审稿时长

9 days

期刊介绍： The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice. AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools across the U.S. Each issue carries useful reviews as well as seminal articles of immediate interest to the practicing physician, including peer-reviewed, original scientific studies that have direct clinical significance and position papers on health care issues, medical education, and public policy.