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[ASH2012]血管疾病早期检测意义重大——北京大学首钢医院血管医学中心王宏宇教授专访

作者:  王宏宇   日期:2012/5/29 10:07:09

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《国际循环》:您能否与我们分享一下您对血管疾病早期检测与控制的看法?

  <International Circulation>: Could you share with us your opinions on the early detection and control of vascular disease?
  Prof. Wang: Vascular disease is the major cause of morbidity and mortality now in the general population. In order to prevent vascular events, I think the key point is early detection of the vascular disease. Firstly we can detect early vascular disease by endothelial dysfunction evaluation and flow-mediated dilation (FMD) by ultrasound is a useful method to detect endothelial dysfunction. Other parameters such as pulse wave velocity (PWV) and the intima media thickness of the carotid (IMT) and ankle brachial index (ABI) as a whole are useful for the global vascular tree detection. Early vascular disease detection and regression is a very important method for future vascular disease prevention.

  《国际循环》:您能否与我们分享一下您对血管疾病早期检测与控制的看法?
  王宏宇教授:目前血管疾病在一般人群中具有较高的发病率,是死亡率增加的主要原因。预防血管事件的关键点在于实现对血管疾病的早期检测。首先,我们可以通过评估内皮细胞功能对血管疾病进行早期检测,超声检测血流介导的血管舒张功能则是检测血管功能的一种有效方法。其他指标如脉搏波速度(PWV)、颈动脉内膜中层厚度(IMT)也是评估血管功能的指标。IMT和踝肱指数(ABI)是目前全球应用最多的血管检测指标。早期血管疾病检测是预防未来血管疾病的重要方法。

  <International Circulation>: What is your opinion on the value of the ABI, PWV and IMT tests?
  Prof. Wang: From 2003, the Chinese government and National Ministry of Health promoted a project to promote an early vascular disease detection system which included screening the larger population using ABI, PWT and IMT as non-invasive evaluations of the vascular system and early vascular disease. Using these parameters is a non-invasive, simple and cheap approach and I think is very useful for future clinical use.

  《国际循环》:您如何评价ABI、PWV 和IMT的临床应用价值?
  王宏宇教授:从2003年开始,中国政府和卫生部推广了一个项目,旨在建立早期血管疾病检测系统,其中需要应用ABI 、PWV 和IMT等评估非侵入性指标在大规模人群中进行血管疾病的早期检测。所应用的上述指标均为非侵入性,且经济、简单,对未来的临床应用非常有价值。

  <International Circulation>: Could you give us an introduction to progress on any new markers to detect risk in people without any symptoms of vascular disease?
  Prof. Wang: Vascular disease includes the structural and functional abnormalities of the vascular tree. If a patient has no obvious structural vascular disease, they may still be at risk due to poor function. In the future we should pay more attention to functional and early structural damage to the vascular tree and not only pay attention to severe structural damage of the vascular tree.

  《国际循环》:您能否向我们介绍一下对无任何血管疾病症状的人群,目前有哪些新的检测血管疾病发生风险的标志物?
  王宏宇教授:血管疾病包括血管结构及功能异常。没有明显结构性血管疾病的患者仍可能因血管功能较差具有较高的发生血管疾病的风险。未来我们应更多地关注血管功能损伤以及早期结构性损伤,而不应只关注血管的严重性结构性损伤。
 

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王宏宇脉搏波速度颈动脉内膜中层厚度IMT踝肱指数ABI

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