Canadian Cardiovascular Society Position Statement on the Management of Thoracic Aortic Disease
Canadian Cardiovascular Society Position Statement on the Management of Thoracic Aortic Disease
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DOI：
10.1016/j.cjca.2014.02.018
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发表时间：
2014-06-01
影响因子：
6.2
通讯作者：
Siu, Samuel C.
中科院分区：
文献类型：
--
作者：
Boodhwani, Munir;Andelfinger, Gregor;Siu, Samuel C.
加拿大心血管学会的立场声明旨在提供胸主动脉疾病（CHD）管理中关键问题的简洁观点。本文件不是对急性主动脉综合征的全面概述，故意不讨论急性主动脉综合征的流行病学、表现、诊断和管理的重要因素;读者可参考美国心脏协会、美国心脏病学会、美国胸外科协会和其他利益相关者发布的2010年指南。相反，这份文件是一个实用的指南，为临床医生管理成人患者的前列腺癌。涵盖的主题包括手术干预的大小阈值，新兴疗法，成像方式，医疗和生活方式管理，以及遗传学。初级小组由来自各个学科的专家组成，这些学科对综合管理糖尿病患者至关重要。该方法涉及重点文献审查，重点是自2010年以来的更新，并使用建议评估、制定和评价方法分级，以得出具体建议。最后文件随后由第二个小组审查。本文件旨在为大多数患者和情况提供建议。然而，关于任何个别患者的管理的最终判断应由其医疗保健团队作出。
This Canadian Cardiovascular Society position statement aims to provide succinct perspectives on key issues in the management of thoracic aortic disease (TAD). This document is not a comprehensive overview of TAD and important elements of the epidemiology, presentation, diagnosis, and management of acute aortic syndromes are deliberately not discussed; readers are referred to the 2010 guidelines published by the American Heart Association, American College of Cardiology, American Association for Thoracic Surgery, and other stakeholders. Rather, this document is a practical guide for clinicians managing adult patients with TAD. Topics covered include size thresholds for surgical intervention, emerging therapies, imaging modalities, medical and lifestyle management, and genetics of TAD. The primary panel consisted of experts from a variety of disciplines that are essential for comprehensive management of TAD patients. The methodology involved a focused literature review with an emphasis on updates since 2010 and the use of Grading of Recommendations Assessment, Development, and Evaluation methodology to arrive at specific recommendations. The final document then underwent review by a secondary panel. This document aims to provide recommendations for most patients and situations. However, the ultimate judgement regarding the management of any individual patients should be made by their health care team.