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題名 | Prevalence of Arteriosclerosis and Atherosclerosis in Stable Patients at a Cardiovascular Outpatient Clinic: Potential for Better Care=心臟科門診穩定病患之動脈硬化和動脈粥狀硬化盛行率:醫療照顧品質改善的機會 |
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作者姓名(中文) | 鄭浩民; 余文鍾; 陳震寰; |
作者姓名(外文) | Cheng, Hao-min; Yu, Wen-chung; Chen, Chen-huan; |
書刊名 | 中華醫學會雜誌 |
卷期 | 69:1 民95.01 |
頁次 | 頁14-20+CA03 |
分類號 | 415.384 |
語文 | eng |
關鍵詞 | 踝臂指數; 動脈硬化; 動脈粥狀硬化; 脈波傳導速度; Ankle-brachial index; Arteriosclerosis; Atherosclerosis; Pulse wave velocity; |
英文摘要 | Background: Cardiovascular treatment guidelines for stable patients who are regularly followed up at medical center clinics have long been practiced and are intended to improve arteriosclerosis and atherosclerosis in these patients. The present study investigated the prevalence of arteriosclerosis and atherosclerosis in patients attending one such clinic, and explored the potential for better care. Methods: A total of 124 outpatients randomly selected from 586 stable outpatients on regular visits to the same senior cardiologist were invited to receive measurements of brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI) using a novel device during their clinic visits. Abnormally high baPWV was defined using the age- and sex-stratified reference ranges obtained from a previous community survey. Results: The prevalence of high baPWV in the studied outpatients was 24.2% and the prevalence of low ABI (< 0.9) was 8.1%. Based on the reports of baPWV and ABI at the point of care, medications were adjusted in 56 patients (45.2%). In 22 patients who had adjusted antihypertensive medication and repeat examinations of baPWV and ABI at subsequent visits, systolic blood pressure fell by 11 mmHg (p = 0.012), and baPWV fell by 0.2 m/s (p = 0.001). Conclusion: Abnormal baPWV and ABI are not uncommon in stable patients who are regularly followed up at a cardiology clinic where treatment guidelines are completely followed. Fast assessment of arteriosclerosis and atherosclerosis at the point of care may provide better care for this group of patients. |
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