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冠状动脉钙化评分对I糖尿病患者罹患ASCVD或CAD的危险预测价值
Afiachukwu Onuegbu等撰,CBSMD整理提炼
1979年发表的“Coronary calcification in the diagnosis of coronary artery disease”阐明了冠脉钙化与T1DM患者后续CVD发生事件的相关性,提示冠脉钙化代表动脉粥样硬化的存在。冠状动脉钙化扫描(coronary artery calcium scan, CAC scan)可在非侵入模式下发现亚临床CAD。标准化钙化评分: 0分表示无钙化斑块、1-10分表示少许钙化, 11-100分为轻度钙化,101-300分为中度钙化,300分以上为重度钙化。"Association of Coronary Artery Calcification With Subsequent Incidence of Cardiovascular Disease in Type 1 Diabetics" 详细地归纳总结了现今有关糖尿病患者CAC评分的研究进展:
1. 从CAC评分对1型糖尿病(T1DM)和2型糖尿病(T2DM)患者未来罹患ASCVD或CAD的预测价值着手, 肯定了冠脉钙化评分相对于其他传统风险因子在CAD疾病进程中的预测价值;
2. 指出10年ASCVD事件发生率与年龄、性别和种族无关,而随CAC评分的增加而增加;6. 总结CAC可辅助临床明确哪类患者可受益于未来五年的一级预防策略。
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