论文部分内容阅读
评估冠状动脉危险性通常是利用预测心血管危险因素的弗雷明汉危险积分。颈动脉超声检测颈动脉内中膜厚度(C IMT)可被用来评估冠状动脉粥样硬化的存在。检测C IMT可以修正通过弗雷明汉危险积分评估的冠状动脉危险性。多数临床试验证实C IMT可以作为动脉粥样硬化病变的预测因子。该文综述C IMT相关文献,明确C IMT在筛选冠心病中的价值,C IMT对中等危险的人群重新评价意义重大。对60岁以上的飞行员来说,超声检测C IMT可作为常规检查。
Assessing coronary artery risk is usually done using the Framingham risk score that predicts cardiovascular risk factors. Carotid Ultrasound Carotid Intima-Media Thickness (CIMT) can be used to assess the presence of coronary atherosclerosis. Testing for C IMT corrects for coronary artery risk as assessed by the Framingham risk score. Most clinical trials confirm C IMT as a predictor of atherosclerotic lesions. This review summarizes CIMT-related literature, clarifies the value of CIMT in the screening of coronary heart disease, and CIMT is of great importance for the reassessment of people at moderate risk. For pilots over the age of 60, the CIMT can be used as a routine test.