血液透析患者冠状动脉病变的诊断与治疗。

Jose Jg De Lima, Luis Henrique W Gowdak, Flavio J de Paula
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引用次数: 7

摘要

我们基于文献数据,基于1250例最长随访12年的单中心队列研究,回顾了目前在移植等待名单上的晚期慢性肾病患者冠状动脉疾病(CAD)的诊断和治疗策略。我们讨论了选择CAD检测患者的最佳方法,如何选择更充分的CAD和心血管疾病筛查试验,如何选择患者进行有创治疗研究以及如何治疗显著CAD患者。我们还提出了新的研究途径,以解决这方面的一些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis and treatment of coronary artery disease in hemodialysis patients evaluated for transplant.

We present a review of current strategies for the diagnosis and treatment of coronary artery disease (CAD) in patients with advanced chronic kidney disease who are on the waiting list for transplants, based on data from the literature and originated from a single-center cohort of 1,250 patients with maximum follow-up of 12 years. We discuss the best way to select patients to be tested for CAD, how to choose the more adequate screening test for CAD and cardiovascular disease, how to select patients for invasive treatment studies and how to treat patients with significant CAD. We also suggest new research avenues to be explored to resolve some problems in this area.

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