Screening for Coronary Heart Disease With Electrocardiography: US Preventive Services Task Force Recommendation Statement
Screening for Coronary Heart Disease With Electrocardiography: US Preventive Services Task Force Recommendation Statement
复制标题
DOI：
10.7326/0003-4819-157-7-201210020-00514
复制
发表时间：
2012-10-02
影响因子：
39.2
通讯作者：
Moyer, Virginia A.
中科院分区：
文献类型：
--
作者：
Moyer, Virginia A.
产品说明：更新2004年美国预防服务工作组（USPSTF）关于筛查冠心病（CHD）的建议声明。USPSTF审查了关于在无症状成人中进行心电图（ECG）筛查以降低CHD事件风险与不进行筛查的益处的新证据，识别高风险人群对降低风险治疗的影响，将个体划分为风险类别的准确性，以及筛查的危害。建议：USPSTF建议，在CHD事件低风险的无症状成人中，不要使用静息或运动ECG筛查来预测CHD事件（D建议）USPSTF的结论是，目前的证据不足以评估静息或运动心电图筛查的利弊平衡，以预测中度或高度风险的无症状成年人的CHD事件。CHD事件（I声明）。
Description: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for coronary heart disease (CHD).Methods: The USPSTF reviewed new evidence on the benefits of screening with electrocardiography (ECG) in asymptomatic adults to reduce the risk for CHD events versus not screening, the effect of identifying high-risk persons on treatment to reduce risk, the accuracy of stratifying individuals into risk categories, and the harms of screening.Recommendations: The USPSTF recommends against screening with resting or exercise ECG for the prediction of CHD events in asymptomatic adults at low risk for CHD events (D recommendation).The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening with resting or exercise ECG for the prediction of CHD events in asymptomatic adults at intermediate or high risk for CHD events (I statement).