没有标准可改变心血管危险因素的冠状动脉疾病人群研究进展

Progress in coronary artery diseases patients without standard modifi able cardiovascular risk factors

标准可改变心血管危险因素(SMuRFs)是指吸烟状况、高血压、糖尿病和高胆固醇血症。识别和管理SMuRFs可很大程度改善心血管疾病的预后。目前心血管疾病仍然是全球死亡的主要原因。最近的研究发现没有标准可改变心血管危险因素(SMuRFs-less)在冠状动脉疾病人群中普遍存在,且比例逐年增加。SMuRFs-less的冠状动脉疾病患者在临床很容易受到忽视。近期研究表明SMuRFs-less相比SMuRFs的冠状动脉患者有更高的全因死亡率和心血管死亡率。因此,早期识别以及诊治这部分患者至关重要。本文就目前SMuRFs-less在冠状动脉疾病中的研究进展进行综述,以增加对SMuRFs-less的认识,更好地为SMuRFs-less人群提供综合全面的评估和管理。

Standard modifiable cardiovascular risk factors(SMuRFs)refer to smoking status,hypertension,diabetes and hypercholesterolemia.Identifying and managing SMuRFs can signifi cantly improve the prognosis of cardiovascular disease.However,cardiovascular disease remains the leading cause of death globally.Recent studies have found that no Standard modifiable cardiovascular risk factors(SMuRFs-less)were prevalent in the population with coronary artery disease and the proportion of SMuRFs-less has been increasing year by year.Coronary artery disease patients with SMuRFs-less were often overlooked clinically.Recent research has shown that coronary artery patients with SMuRFs-less hadhigher all-cause mortality and cardiovascular mortality than those with SMuRFs.Therefore,early identifi cation and treatment of this population were crucial.This article provided a review of the current research progress on SMuRFs-less in coronary artery disease to increase awareness and provide comprehensive assessment and management for this population.