从欧美指南看稳定性冠心病诊断术语的演变The evolution of diagnostic terms of stable coronary artery disease from European and American guidelines
颜红兵,霍勇
摘要(Abstract):
越来越多的证据表明,心绞痛和缺血的非心外膜冠状动脉原因,包括冠状动脉微血管功能障碍、血管痉挛障碍和心肌代谢紊乱,比血流限制性狭窄更常见。为此,2019年欧洲心脏病学会(ESC)指南首次提出慢性冠状动脉综合征的概念,以替代稳定性冠心病的诊断术语。2024年ESC指南进一步明确了慢性冠状动脉综合征的定义。新近,美国心脏协会(AHA)和ESC则建议将稳定性冠心病的诊断术语改名为非急性心肌缺血综合征。这些反映了对稳定性冠心病病理生理学的认识在不断深化,必将带来对稳定性冠心病的进一步精准分类,更好地指导临床实践。
关键词(KeyWords): 稳定性冠心病;欧洲心脏病学会;美国心脏病学会/美国心脏协会
基金项目(Foundation):
作者(Author): 颜红兵,霍勇
参考文献(References):
- [1]Management of stable angina pectoris.Recommendations of the task force of the European Society of Cardiology[J].Eur Heart J,1997,18(3):394-413.DOI:10.1093/oxfordjournals.eurheartj.a015259.
- [2]Gibbons RJ,Chatterjee K,Daley J,et al.ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Committee on Management of Patients With Chronic Stable Angina)[J].J Am Coll Cardiol,1999,33(7):2092-2197.DOI:10.1016/s0735-1097(99)00150-3.
- [3]Gibbons RJ,Abrams J,Chatterjee K,et al.ACC/AHA 2002guideline update for the management of patients with chronic stable angina--summary article:a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina)[J].J Am Coll Cardiol,2003,41(1):159-168.DOI:10.1016/s0735-1097(02)02848-6.
- [4]Fox K,Garcia MA,Ardissino D,et al.Guidelines on the management of stable angina pectoris:executive summary:the task force on the management of stable angina pectoris of the European Society of Cardiology[J].Eur Heart J,2006,27(11):1341-1381.DOI:10.1093/eurheartj/ehl001.
- [5]Fraker TD Jr,Fihn SD,Gibbons RJ,et al.2007 chronic angina focused update of the ACC/AHA 2002 guidelines for the management of patients with chronic stable angina:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 guidelines for the management of patients with chronic stable angina[J].J Am Coll Cardiol,2007,50(23):2264-2274.DOI:10.1016/j.jacc.2007.08.002.
- [6]Fihn SD,Gardin JM,Abrams J,et al.2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease:a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines,and the American College of Physicians,American Association for Thoracic Surgery,Preventive Cardiovascular Nurses Association,Society for Cardiovascular Angiography and Interventions,and Society of Thoracic Surgeons[J].Circulation,2012,126(25):e354-e471.DOI:10.1161/CIR.0b013e318277d6a0.
- [7]Montalescot G,Sechtem U,Achenbach S,et al.2013 ESCguidelines on the management of stable coronary artery disease:the task force on the management of stable coronary artery disease of the European Society of Cardiology[J].Eur Heart J,2013,34(38):2949-3003.DOI:10.1093/eurheartj/eht296.
- [8]Fihn SD,Blankenship JC,Alexander KP,et al.2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines,and the American Association for Thoracic Surgery,Preventive Cardiovascular Nurses Association,Society for Cardiovascular Angiography and Interventions,and Society of Thoracic Surgeons[J].J Am Coll Cardiol,2014,64(18):1929-1949.DOI:10.1016/j.jacc.2014.07.017.
- [9]Knuuti J,Wijns W,Saraste A,et al.2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes[J].Eur Heart J,2020,41(3):407-477.DOI:10.1093/eurheartj/ehz425.
- [10]Virani SS,Newby LK,Arnold SV,et al.2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the management of patients with chronic coronary disease:a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines[J].JAm Coll Cardiol,2023,82(9):833-955.DOI:10.1016/j.jacc.2023.04.003.
- [11]Vrints C,Andreotti F,Koskinas KC,et al.2024 ESCGuidelines for the management of chronic coronary syndromes[J].Eur Heart J,2024,45(36):3415-3537.DOI:10.1093/eurheartj/ehae177.
- [12]Boden WE,Marzilli M,Crea F,et al.Evolving management paradigm for stable ischemic heart disease patients:JACCreview topic of the week[J].J Am Coll Cardiol,2023,81(5):505-514.DOI:10.1016/j.jacc.2022.08.814.
- [13]Collet C,Sonck J,Vandeloo B,et al.Measurement of hyperemic pullback pressure gradients to characterize patterns of coronary atherosclerosis[J].J Am Coll Cardiol,2019,74(14):1772-1784.DOI:10.1016/j.jacc.2019.07.072.
- [14]Scarsini R,Fezzi S,Leone AM,et al.Functional patterns of coronary disease:diff use,focal,and serial lesions[J].JACC Cardiovasc Interv,2022,15(21):2174-2191.DOI:10.1016/j.jcin.2022.07.015.
- [15]Sternheim D,Power DA,Samtani R,et al.Myocardial bridging:diagnosis,functional assessment,and management:JACC state-of-the-art review[J].J Am Coll Cardiol,2021,78(22):2196-2212.DOI:10.1016/j.jacc.2021.09.859.
- [16]Gentile F,Castiglione V,De Caterina R.Coronary artery anomalies[J].Circulation,2021,144:983-996.DOI:10.1161/CIRCULATIONAHA.121.055347.
- [17]Del Buono MG,Montone RA,Camilli M,et al.Coronary microvascular dysfunction across the spectrum of cardiovascular diseases:JACC state-of-the-art review[J].J Am Coll Cardiol,2021,78(13):1352-1371.DOI:10.1016/j.jacc.2021.07.042.
- [18]Marzilli M,Crea F,Morrone D,et al.Myocardial ischemia:from disease to syndrome[J].Int J Cardiol,2020,314:32-35.DOI:10.1016/j.ijcard.2020.04.074.
- [19]Boden WE,De Caterina R,Kaski JC,et al.Myocardial ischemic syndromes:a new nomenclature to harmonize evolving international clinical practice guidelines[J].Circulation,2024,150(20):1631-1637.DOI:10.1161/CIRCULATIONAHA.123.065656.
- [20]Boden WE,De Caterina R,Kaski JC,et al.Myocardial ischemic syndromes:a new nomenclature to harmonize evolving international clinical practice guidelines[J].Eur Heart J,2024,45(36):3701-3706.DOI:10.1093/eurheartj/ehae278.
- [21]颜红兵,霍勇.《2019年欧洲心脏病学会慢性冠状动脉综合征诊断和管理指南》-冠状动脉疾病治疗:从归类走向精准[J].中国介入心脏病学杂志,2019,27 (9):481-483.DOI:10.3969/j.issn.1004-8812.2019.09.001.