How can we identify patients at high
risk
of coronary heart disease events? |
Successful strategies are needed to
prevent atherosclerotic plaque
development and vessel occlusion
and their consequences in terms
of cardiac events.“Traditional”
risk stratification has used various
algorithms based on assessment
of standard risk factors and the
characteristics and extent of
atherosclerotic cardiovascular
disease in order to match the
intensity of intervention to the level
of risk at an acceptable cost.
Recent studies have focused on the
importance of novel prognostic
factors and cardiac markers to
predict the risk of future events,
including inflammation
(C-reactive protein), thrombosis
(fibrinogen), direct assessment
of the extent of disease
(cardiac imaging techniques),
predictors of the vulnerable plaque
(serum troponin T), as well as
cultural, social, and behavioral
predictors of outcome such as
depression and poor social support...
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