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家庭医による家庭医のためのプライマリケア上達術 » 早期の心血管系疾患発症リスクアセスメント　ACCF・AHAガイドラインより

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早期の心血管系疾患発症リスクアセスメント　ACCF・AHAガイドラインより

早期の心血管系疾患発症リスクアセスメント　ACCF・AHAガイドラインより

http://www.aafp.org/afp/2011/0715/p234.html

心血管系疾患発症リスクのスコアリングはGLOBAL RISK SCORINGが基本であろう。もともと、AHAはEBMには結構あまい感じがするがこのガイドラインではここ5年から10年くらいで新たに導入されたテストの推奨の有無に言及していることが特徴だろうか。C-Reactive Protein、Lipoprotein-Associated Phospholipase A2、Carotid Intima-Media Thickness、Brachial/Peripheral Flow–Mediated Dilation、Arterial Stiffness、Calcium Scoring Methods、Coronary Computed Tomography Angiography、Magnetic Resonance Imaging等あまり耳にしない言葉も多い。それぞれの推奨の有無を確認しておきたい。米国では特にメジャーな疾患であるために研究や新し開発等も目覚ましい発展がある。そして時代の流れとして予防医学的な観点がますます強調されるようになってきている。

update: 2011/07/28 | 家庭医プライマリケアアップデート
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家庭医プライマリケアリンク学会編

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