病人检查前熬夜、喝咖啡
3
检测过程中病人过度紧张
4
病人本身心脏功能不好,心输出量低等
新旧结合,精准医疗
总而言之,ba-PWV和ABI出现,不仅满足了人们对无创预测动脉硬化的需求,很大程度上降低了检测成本,也使得检测效率更高。此外,从科学研究的角度来看,上述两种检测方法都可以作为探索糖尿病和动脉硬化之间联系的有力手段。但是,传统的检测方法,如CT、MRI和血管造影,也有各自的优势。换句话说,在疾病诊断时,适当结合各种方法,使其优势互补,更能达到精准医疗的目的。
参考文献
[1]. Campbell PT, et al. Diabetes Care. 2012 Sep;35(9):1835-44.
[2] Lou YM, et al. Association between brachial-ankle pulse wave velocity and risk of type 2 diabetes mellitus: results from a cohort study. BMJ Open Diabetes Res Care. 2020; 8(1):e001317.
[3] Zhang Y, et al. Positive association between baseline brachial-ankle pulse wave velocity and the risk of new-onset diabetes in hypertensive patients. Cardiovasc Diabetol. 2019 Aug 28;18(1):111.
[4] Zhang K, et al. Associations of Arterial Stiffness and Carotid Atherosclerosis with Cerebral Small Vessel Disease in a Rural Community-Based Population. J Atheroscler Thromb. 2020 Sep 1;27(9):922-933.
[5]. 胡建梅. 2型糖尿病患者ABI与CAD之间的关系及影响. 2014年甘肃省中医药学会学术年会论文集.
作者/盛杰
责编/Jane