Categories: 心血管病

Harms of Screening for Asymptomatic Carotid Artery Stenosis Outweigh the Benefits筛检无症状颈动脉狭窄得不偿失

The U.S. Preventive Services Task Force (USPSTF) concluded “with moderate certainty that the harms of screening for asymptomatic carotid artery stenosis outweigh the benefits.” The conclusion is based on the low incidence of carotid artery stenosis in the general population, not being able to identify a high-risk population, the false-positives and the false-negatives of the screening test (duplex ultrasonography), the need to do additional testing, the lack of definite benefit from the interventions (endarterectomy or stenting), plus the risks of the interventions.美国预防医学工作小组(USPSTF)得出结论:“基本肯定筛检无症状颈动脉狭窄得不偿失。” 该结论是基于颈动脉狭窄在普通人群中的发生率较低,不能鉴别高危人群,筛检测试(双功能超声)的假阳性和假阴性,需要做进一步的检查,干预措施(动脉内膜切除术或支架置入术)缺乏明确的好处,再加上干预的风险。

hyangiu

近期博文

体力活动对心血管病和死亡风险的量效关系

最近的两项研究强调了体力活动量…

2 天 ago

快走或可降低心律失常风险

一项英国前瞻性队列研究发现,无…

2 天 ago

4:3间歇性禁食减肥效果优于每日热量限制

一项美国随机临床试验发现,对于…

4 周 ago

新型降糖药对老年二型糖尿病患者心血管病的效果比较

一项丹麦全国性队列研究提供的真…

1 月 ago

非手术与非介入疗法对腰痛的疗效

基于安慰剂对照的随机试验,一项…

1 月 ago

服用他汀类药物与肝癌及肝病进展风险降低有关

一项美国队列研究提示,服用他汀…

1 月 ago

This website uses cookies.