非心脏外科手术围手术期心脏风险预测模型的评价和展望  

Evaluation and prospect of predictive models of perioperative cardiovascular risk for non-cardiac surgery

作　　者：朱冰哲 于雪 Zhu Bingzhe;Yu Xue(Peking University Fifth School of Clinical Medicine,Beijing 100730,China;Department of Cardiology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京大学第五临床医学院,100730 [2]北京医院心内科、国家老年医学中心、中国医学科学院老年医学研究院,100730

出　　处：《中国心血管杂志》2024年第3期257-262,共6页Chinese Journal of Cardiovascular Medicine

基　　金：中国医学科学院医学与健康科技创新工程重大协同创新项目(2021-I2M-1-050);中央高水平医院临床科研业务费专项(BJ-2022-113)。

摘　　要：围手术期心血管事件(PCE)是影响非心脏外科手术患者预后的重要因素。术前应用风险预测模型对非心脏外科手术患者进行心血管风险评估,有助于采取相应措施降低PCE风险。本文将结合国内外相关研究及最新指南,就非心脏外科手术PCE风险预测模型的优势及局限性进行综述,并对新型预测因子进行总结与展望。Perioperative cardiovascular events are important factors affecting the prognosis of patients undergoing non-cardiac surgery.The preoperative application of risk predictive models to assess cardiovascular risk in patients undergoing non-cardiac surgery can help take appropriate measures to reduce perioperative cardiovascular risk.This article will review the advantages and limitations of perioperative cardiovascular risk predictive models for non-cardiac surgery based on relevant research.The latest domestic and abroad guidelines and prospect new predictive factors will be summarized.

关 键 词：围手术期 心血管事件 风险预测模型 风险预测因子 生物标志物 

分 类 号：R54[医药卫生—心血管疾病]