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首页> 外文会议>International Congress on Coronary Artery Disease. >Which asymptomatic carotid stenoses should be treated?
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Which asymptomatic carotid stenoses should be treated?

机译：应该治疗哪种无症状颈动脉狭窄？

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摘要

Making sound treatment choices in advanced cardiovascular disease requires a solid understanding of the natural history of the specific arterial lesions as well as reliable comparisons of various treatments. Unfortunately, despite extensive work, the best management for asymptomatic carotid stenoses is not yet fully resolved. Drawing conclusions from the published studies comparing surgical vs medical management of asymptomatic carotid stenoses is complicated by the differing techniques of measurement (duplex scan vs arteriography) and variations in the definition of which lesions are critical (ranging from 60 to 80 percent). Further, the modern medical management of patients with advanced atherosclerosis has been substantially impacted by successful risk factor modification and the more expansive use of statin drugs and novel antiplatelet compounds.
机译：在先进的心血管疾病中进行声音处理需要了解特定动脉病变的自然历史以及可靠的各种治疗的比较。不幸的是，尽管工作广泛，但无症状颈动脉狭窄的最佳管理尚未完全解决。从发表的研究中得出结论比较外科患者无症状颈动脉狭窄的医学管理对损伤的定义的不同方法（双相扫描与动脉造影）和变化是复杂的，病变至关重要（范围为60％）。此外，先进的动脉粥样硬化患者的现代医学管理基本上受到成功风险因子修饰的影响，以及他汀类药物和新型抗血小板化合物的更广泛使用。

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