亚临床冠状动脉粥样硬化患者在冠状动脉钙化评分指导下服用阿司匹林进行心血管一级预防。

IF 2.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Arthur J Siegel
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引用次数: 0

摘要

虽然耐力运动对心脏有保护作用,但剧烈运动也可能引发心脏性猝死。虽然马拉松训练能促进整体心脏健康,但参加这类比赛会短暂增加心脏骤停的风险,主要发生在亚临床冠状动脉粥样硬化的中年男性身上。冠状动脉钙扫描被建议用于风险分层,以确定哪些人可以从加强一级预防中获益。根据《医生健康研究》中关于阿司匹林的最终报告,同龄男性首次心脏病发作率降低了 40%,因此建议此类跑步者和在休闲体育活动中心脏性猝死风险较高的老年人服用低剂量阿司匹林。这种方法还可以为患有人类免疫缺陷病毒感染等疾病的患者提供一级预防,在这些疾病中,炎症会促进冠状动脉粥样硬化的发展。在具有中度风险因素的人群中,在多丸剂中添加低剂量阿司匹林后,重大急性心脏病事件减少了 31%,这为该策略提供了支持。两项随机对照临床试验证明,在冠状动脉钙化评分的指导下服用小剂量阿司匹林进行一级预防值得及时考虑,因为美国心脏协会预测到 2050 年动脉粥样硬化的负担将急剧加重。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aspirin Guided By Coronary Artery Calcium Scoring for Primary Cardiovascular Prevention in Persons with Subclinical Coronary Atherosclerosis.
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来源期刊
American Journal of Medicine
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.
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