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ESC 2015：未来心血管热点领域——P4医学、斑块负荷、TAVR、环境污染

2015-09-01 MedSci MedSci原创

P4医学斑块负荷TAVR环境污染
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Brugada：P4医学将走入主流西班牙心律失常专家Brugada教授指出，与传统医学的被动性反应相悖，将来医学将向P4医学发展，即对疾病更有预测性（predicative），诊断治疗的个体化（personalized），整体人群的参与（participative）以及对疾病的预防（preventive）。而人们更是将透彻地认识更多心律失常的分子机制，掌握更多的先进技术如无创起搏器甚至将来将出现的

Brugada：P4医学将走入主流

西班牙心律失常专家Brugada教授指出，与传统医学的被动性反应相悖，将来医学将向P4医学发展，即对疾病更有预测性（predicative），诊断治疗的个体化（personalized），整体人群的参与（participative）以及对疾病的预防（preventive）。而人们更是将透彻地认识更多心律失常的分子机制，掌握更多的先进技术如无创起搏器甚至将来将出现的生物起搏器。从解剖到生理，从细胞学到分子学，人类将史无前例地解开疾病的秘密。

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从易损斑块到斑块负荷，重塑斑块概念

Vrints教授挑战了冠心病的易损斑块概念。他认为，随着影像手段的发展，以往越来越多的急性冠脉综合征由斑块的腐蚀导致，而将来的工作重点也将由稳定斑块过度到降低斑块负荷，这就需要更早的影像学及基因谱的诊断方法。

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TAVR在2025年将成为主导性技术

TAVR的创始人Cribier教授大胆地设想在2025年，TAVR将取代大部分主动脉瓣膜的外科手术治疗。TAVR的适应证将进一步扩展.而如二尖瓣等其他瓣膜的介入技术也向外科手术提出了更大的挑战。

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环境污染对心血管危害巨大

《美国心脏病学会杂志》（JACC）主编Fuster探讨了目前环境污染和CAD的沉重话题。即使在美国，降低pm 2.5水平也能降低每年8000例住院及减少1亿美元的医疗开支。而将来的心血管防治工作，更要将科学进展与教育并进，使疾病在亚临床状态即得到控制。

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    2015-10-11 hlycom3356

    感谢作者分享

    0

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    2015-11-10 wangtianj2007@

    #AVR#

    0

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    2015-09-03 ms3994565386320060

    #斑块#

    0

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    2015-09-03 小刀医生

    #污染#

    0