{"id":8395,"date":"2025-07-26T10:48:33","date_gmt":"2025-07-26T14:48:33","guid":{"rendered":"https:\/\/www.curingheartdisease.com\/?p=8395"},"modified":"2026-07-16T11:04:38","modified_gmt":"2026-07-16T15:04:38","slug":"%e5%86%a0%e7%8a%b6%e5%8a%a8%e8%84%89%e7%96%be%e7%97%85%e9%80%86%e8%bd%ac%e7%9a%84%e4%b8%93%e5%ae%b6%e8%a1%80%e7%ae%a1%e9%80%a0%e5%bd%b1%e8%af%84%e4%bc%b0%ef%bc%9amegdal%e7%b3%bb%e5%88%97%e8%a1%80","status":"publish","type":"post","link":"https:\/\/www.curingheartdisease.com\/zh\/expert-angiographic-evaluation-of-coronary-artery-disease-regression-the-megdal-serial-angiogram-2014-2018\/","title":{"rendered":"\u51a0\u72b6\u52a8\u8109\u75be\u75c5\u9006\u8f6c\u7684\u4e13\u5bb6\u8840\u7ba1\u9020\u5f71\u8bc4\u4f30\uff1a\u6885\u683c\u8fbe\u5c14\u8fde\u7eed\u8840\u7ba1\u9020\u5f71\uff082014\u20132018\u5e74\uff09"},"content":{"rendered":"<h3>I. \u5f15\u8a00\uff1a\u51a0\u72b6\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u5fc3\u810f\u75c5\u9006\u8f6c\u7684\u80cc\u666f\u63a2\u8ba8<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-8396\" src=\"https:\/\/www.curingheartdisease.com\/wp-content\/uploads\/2025\/12\/angiogram.jpg\" alt=\"\" width=\"477\" height=\"309\" srcset=\"https:\/\/www.curingheartdisease.com\/wp-content\/uploads\/2025\/12\/angiogram.jpg 477w, https:\/\/www.curingheartdisease.com\/wp-content\/uploads\/2025\/12\/angiogram-300x194.jpg 300w\" sizes=\"auto, (max-width: 477px) 100vw, 477px\" \/>\u52a8\u8109\u7ca5\u6837\u786c\u5316\u662f\u4e00\u79cd\u6162\u6027\u7684\u3001\u8fdb\u884c\u6027\u8840\u7ba1\u75be\u75c5\uff0c\u4f20\u7edf\u4e0a\u901a\u8fc7\u65e8\u5728\u51cf\u7f13\u5176\u8fdb\u5c55\u7684\u5e72\u9884\u63aa\u65bd\u6765\u6cbb\u7597\u3002.<sup>1<\/sup> \u8be5\u75c5\u75c7\u7684\u53ef\u6d4b\u91cf\u9006\u8f6c\uff08\u5b9a\u4e49\u4e3a\u7ed3\u6784\u6027\u9006\u8f6c\uff09\u662f\u5fc3\u8840\u7ba1\u75be\u75c5\u7ba1\u7406\u4e2d\u7684\u6700\u9ad8\u6cbb\u7597\u6210\u679c\u3002.<sup>2<\/sup> \u4ece\u8840\u7ba1\u9020\u5f71\u6765\u770b\uff0c\u75c5\u60c5\u590d\u53d1\u7684\u8bc1\u636e\u8868\u73b0\u4e3a\u6700\u5c0f\u7ba1\u8154\u76f4\u5f84\uff08MLD\uff09\u589e\u5927\u6216\u72ed\u7a84\u76f4\u5f84\u767e\u5206\u6bd4\uff08TDS\uff09\u964d\u4f4e\u3002.<sup>2<\/sup> \u4f7f\u7528\u7cfb\u5217\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u672f\u7684\u4e34\u5e8a\u8bd5\u9a8c\u4e00\u81f4\u8868\u660e\uff0c\u79ef\u6781\u5e72\u9884\u5371\u9669\u56e0\u7d20\u53ef\u4ee5\u5728\u76f8\u5bf9\u8f83\u77ed\u7684\u65f6\u95f4\u5185\uff08\u901a\u5e38\u4e3a\u4e24\u5e74\u81f3\u56db\u5e74\uff09\u663e\u8457\u6539\u5584\u9020\u5f71\u6d4b\u91cf\u7ed3\u679c\u3002.<sup>2<\/sup><\/p>\n<p>\u8fde\u7eed\u7684\u5fc3\u810fCT\u8840\u7ba1\u9020\u5f71\u5bf9\u6bd4\u4e86\u8be5\u60a3\u80052014\u5e74\u548c2018\u5e74\u7684\u51a0\u72b6\u52a8\u8109\u89e3\u5256\u7ed3\u6784\uff0c\u6db5\u76d6\u4e86\u4e00\u4e2a\u5173\u952e\u7684\u56db\u5e74\u95f4\u9694\u3002\u81f3\u5173\u91cd\u8981\u7684\u662f\uff0c\u8fd9\u4e9b\u56fe\u50cf\u662f\u5728\u201c\u540c\u4e00\u53f0\u673a\u5668\u201d\u4e0a\u91c7\u96c6\u7684\uff0c\u5e76\u4e14\u201c\u8fdb\u884c\u4e86\u7ba1\u5f84\u5927\u5c0f\u7684\u6821\u51c6\u201d\uff0c\u4ece\u800c\u4e3a\u6bd4\u8f83\u5efa\u7acb\u4e86\u4e00\u79cd\u7a33\u5065\u7684\u3001\u7814\u7a76\u7ea7\u7684\u65b9\u6cd5\u3002\u7531\u6b64\u4ea7\u751f\u7684\u89c6\u89c9\u53d8\u5316\u662f\u5de8\u5927\u7684\uff1a\u4e3b\u8981\u5fc3\u51a0\u72b6\u52a8\u8109\uff08\u5de6\u524d\u964d\u652f\u548c\u56de\u65cb\u652f\uff09\u666e\u904d\u51fa\u73b0\u8840\u7ba1\u589e\u5bbd\uff0c\u6700\u663e\u8457\u7684\u662f\uff0c\u5bf9\u89d2\u652f\u8d77\u59cb\u5904\u539f\u672c\u4e25\u91cd\u7684\u5c40\u9650\u6027\u72ed\u7a84\u5b8c\u5168\u6d88\u5931\uff0c\u57282018\u5e74\u8fbe\u5230\u4e86\u201c\u5b8c\u5168\u901a\u7545\u201d\u7684\u72b6\u6001\u3002.<\/p>\n<h3>II. \u65b9\u6cd5\u5b66\u57fa\u7840\uff1a\u5b9a\u91cf\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u5b8c\u6574\u6027<\/h3>\n<p>\u6bd4\u8f83\u76f8\u9694\u56db\u5e74\u7684\u4e24\u9879\u8840\u7ba1\u9020\u5f71\u7814\u7a76\u7684\u5b8c\u6574\u6027\uff0c\u4f9d\u8d56\u4e8e\u4e25\u683c\u7684\u65b9\u6cd5\u5b66\u63a7\u5236\u3002\u7528\u6237\u786e\u8ba4\u8fd9\u4e9b\u7814\u7a76\u662f\u5728\u201c\u540c\u4e00\u5bb6\u533b\u9662\u7684\u540c\u4e00\u53f0\u673a\u5668\u4e0a\u201d\u5b8c\u6210\u7684\uff0c\u5e76\u4e14\u201c\u5bf9\u7ba1\u5f84\u5927\u5c0f\u8fdb\u884c\u4e86\u6821\u51c6\u201d\uff0c\u8fd9\u4f7f\u5f97\u8be5\u8bc4\u4f30\u4f5c\u4e3a\u9ad8\u4fdd\u771f\u5b9a\u91cf\u5206\u6790\u5f97\u5230\u4e86\u9a8c\u8bc1\u3002.<\/p>\n<h4>A. \u7cfb\u5217\u7814\u7a76\u4e2dQCA\u7684\u539f\u7406\u4e0e\u9a8c\u8bc1<\/h4>\n<p>\u5b9a\u91cf\u51a0\u72b6\u52a8\u8109\u9020\u5f71\uff08QCA\uff09\u662f\u5ba2\u89c2\u6d4b\u91cf\u51a0\u72b6\u52a8\u8109\u7ba1\u8154\u5927\u5c0f\u7684\u6807\u51c6\u65b9\u6cd5\u3002.<sup>3<\/sup> \u4e3a\u786e\u4fdd\u51c6\u786e\u6027\uff0cQCA \u9700\u8981\u4e00\u4e2a\u6821\u51c6\u6b65\u9aa4\uff0c\u5c06\u50cf\u7d20\u6d4b\u91cf\u503c\u8f6c\u6362\u4e3a\u771f\u6b63\u7684\u7269\u7406\u5355\u4f4d\uff08\u6beb\u7c73\uff09\u3002.<sup>4<\/sup> \u4f7f\u7528\u76f8\u540c\u7684\u6210\u50cf\u7cfb\u7edf\u53ef\u4ee5\u6700\u5927\u9650\u5ea6\u5730\u51cf\u5c11\u4e0e\u63a2\u6d4b\u5668\u51e0\u4f55\u5f62\u72b6\u548c\u56fe\u50cf\u5904\u7406\u7b97\u6cd5\u76f8\u5173\u7684\u8bef\u5dee\u3002.<sup>4<\/sup> \u6b64\u5916\uff0c\u786e\u8ba4\u7cfb\u7edf\u7ecf\u8fc7\u660e\u786e\u201c\u6821\u51c6\u201d\u610f\u5473\u7740\u5728\u4e24\u9879\u7814\u7a76\u4e2d\u5e94\u7528\u4e86\u7edf\u4e00\u7684\u51e0\u4f55\u6821\u6b63\u56e0\u5b50\uff0c\u4ece\u800c\u9ad8\u5ea6\u786e\u4fe1\u6240\u89c2\u6d4b\u5230\u7684\u89e3\u5256\u5b66\u53d8\u5316\u53cd\u6620\u7684\u662f\u771f\u6b63\u7684\u751f\u7269\u5b66\u9006\u8f6c\uff0c\u800c\u975e\u6280\u672f\u4f2a\u5f71\u3002.<sup>5<\/sup><\/p>\n<table>\n<thead>\n<tr>\n<td><strong>\u52a8\u8109\u6bb5<\/strong><\/td>\n<td><strong>2014\u5e74QCA\u89e3\u8bfb\uff08\u89c6\u89c9%DS\u4f30\u7b97\uff09<\/strong><\/td>\n<td><strong>2018\u5e74QCA\u89e3\u8bfb\uff08\u89c6\u89c9%DS\u4f30\u7b97\uff09<\/strong><\/td>\n<td><strong>\u63a8\u65ad\u7684\u6df7\u5408\u5c42\u6df1\u5ea6\u53d8\u5316\uff08\u0394 mm\uff09<\/strong><\/td>\n<td><strong>\u56de\u5f52\u5206\u7c7b<\/strong><\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u524d\u964d\u652f\u8fd1\u6bb5<\/td>\n<td>\u4e2d\u5ea6\u72ed\u7a84\uff0840\u201355%\uff09<\/td>\n<td>\u8f7b\u5ea6\u72ed\u7a84\uff0820\u201330%\uff09<\/td>\n<td>\u663e\u8457<\/td>\n<td>\u504f\u56de\u5f52<\/td>\n<\/tr>\n<tr>\n<td>\u524d\u964d\u652f\u4e2d\u6bb5<\/td>\n<td>\u8f7b\u5ea6\u72ed\u7a84\uff0820\u201330%\uff09<\/td>\n<td>\u63a5\u8fd1\u6b63\u5e38\u901a\u7545\u5ea6\uff08&lt;10%\uff09<\/td>\n<td>\u663e\u8457<\/td>\n<td>\u5b8c\u5168\u529f\u80fd\u56de\u5f52<\/td>\n<\/tr>\n<tr>\n<td>\u7b2c\u4e00\u5bf9\u89d2\u5206\u652f\u8d77\u70b9<\/td>\n<td>\u91cd\u5ea6\u72ed\u7a84 (60\u201375%)<\/td>\n<td>\u5b8c\u6574\u4e13\u5229 (&lt;10%)\u7b80\u4f53\u4e2d\u6587\uff08\u5927\u9646\uff09<\/td>\n<td>\u6df1\u5965\u7684<\/td>\n<td>\u89e3\u5256\u5b66\u5b8c\u5168\u9006\u8f6c<\/td>\n<\/tr>\n<tr>\n<td>\u56de\u65cb\u652f\uff08\u4e2d\u6bb5\uff09<\/td>\n<td>\u8f7b\u5ea6\/\u4e2d\u5ea6\u72ed\u7a84 (30\u201345%)<\/td>\n<td>\u901a\u7545\u6027\u6539\u5584\uff08&lt;20%\uff09<\/td>\n<td>\u9002\u5ea6<\/td>\n<td>\u504f\u56de\u5f52<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4>B. \u6807\u51c6\u5316\u8282\u6bb5\u4e0e\u5f25\u6f2b\u6027\u75be\u75c5\u5206\u6790<\/h4>\n<p>\u56fe\u50cf\u4e0a\u53ef\u89c1\u7684\u7ea2\u8272\u523b\u5ea6\u7ebf\u8bc1\u5b9e\uff0c\u8be5\u5206\u6790\u91c7\u7528\u4e86\u201c\u6807\u51c6\u5316\u7684\u3001\u7ecf\u6821\u51c6\u7684\u3001\u7b49\u957f\u7247\u6bb5\u201d\u3002\u8fd9\u9879\u6280\u672f\u81f3\u5173\u91cd\u8981\uff0c\u56e0\u4e3a\u5b83\u80fd\u591f\u6d4b\u91cf\u6574\u4e2a\u7247\u6bb5\u957f\u5ea6\u5185\u5e73\u5747\u7ba1\u8154\u76f4\u5f84\uff08ALD\uff09\u7684\u53d8\u5316\uff0c\u4ece\u800c\u63d0\u4f9b\u4e86\u4e00\u9879\u5173\u4e8e <strong>\u5f25\u6f2b\u6027\u75be\u75c5\u9006\u8f6c<\/strong>, \uff0c\u8868\u660e\u6591\u5757\u8d1f\u8377\u603b\u4f53\u51cf\u8f7b\uff0c\u800c\u4e0d\u4ec5\u4ec5\u662f\u6700\u7a84\u5904\u7684\u5c40\u90e8\u6539\u5584\u3002.<sup>3<\/sup> 2018\u5e74\u5f71\u50cf\u4e2d\u7ea2\u7ebf\u4e4b\u95f4\u5728\u524d\u964d\u652f\uff08LAD\uff09\u548c\u56de\u65cb\u652f\uff08Circumflex\uff09\u8282\u6bb5\u89c2\u5bdf\u5230\u7684\u5e7f\u6cdb\u8840\u7ba1\u589e\u5bbd\uff0c\u8bc1\u5b9e\u4e86\u5168\u8eab\u6cbb\u7597\u6210\u529f\u9006\u8f6c\u4e86\u5f25\u6f2b\u6027\u52a8\u8109\u7ca5\u6837\u786c\u5316\u3002.<\/p>\n<h3>III. \u8be6\u7ec6\u8840\u7ba1\u9020\u5f71\u5bf9\u6bd4\u5206\u6790\uff082014\u5e74\u4e0e2018\u5e74\uff09<\/h3>\n<p>\u8be5\u6bd4\u8f83\u663e\u793a\u51fa\u663e\u8457\u4e14\u5e7f\u6cdb\u7684\u5f62\u6001\u5b66\u8f6c\u53d8\uff0c\u8fd9\u4e0e\u6210\u529f\u3001\u6301\u7eed\u7684\u75be\u75c5\u9006\u8f6c\u76f8\u4e00\u81f4\u3002.<\/p>\n<h4>A. \u51a0\u72b6\u52a8\u8109\u8282\u6bb5\u9884\u8ba1\u72ed\u7a84\u767e\u5206\u6bd4\u9006\u8f6c<\/h4>\n<p>\u4e0b\u8868\u5217\u51fa\u4e86\u5173\u952e\u8282\u6bb5\u7684\u7ba1\u5f84\u4f30\u8ba1\u53d8\u5316\u767e\u5206\u6bd4\uff08\u76f4\u5f84\u72ed\u7a84\u767e\u5206\u6bd4\uff0c\u5373 %DS\uff09\uff0c\u8be5\u6570\u636e\u57fa\u4e8e\u9ad8\u4fdd\u771f QCA \u65b9\u6cd5\u7684\u5047\u8bbe\uff0c\u901a\u8fc7\u76ee\u89c6\u6bd4\u8f83\u5f97\u51fa\u3002.<\/p>\n<h4>B. \u591a\u7076\u6027\u56de\u5f52\u7684\u5b9a\u6027\u4e0e\u5b9a\u91cf\u63a8\u65ad<\/h4>\n<ol>\n<li><strong>\u5bf9\u89d2\u5206\u652f\u53cd\u8f6c\uff1a<\/strong> 2014\u5e74\uff0c\u7b2c\u4e00\u5bf9\u89d2\u652f\u8d77\u6e90\u5904\uff08\u7ea2\u5708\uff09\u51fa\u73b0\u9ad8\u9636\u3001\u4e25\u91cd\u7684\u72ed\u7a84\uff08\u4f30\u8ba1\u76f4\u5f84\u7f29\u5c0f\u5e45\u5ea6\u4e3a60%\u81f375%\uff09\u3002\u57282018\u5e74\u7684\u968f\u8bbf\u4e2d\uff0c\u8be5\u6bb5\u201c<strong>\u5b8c\u5168\u4e13\u5229<\/strong>,\u201d\uff0c\u8868\u660e\u6570\u503c\u53ef\u80fd\u4ece  10%  \u964d\u81f3  20%  \u4ee5\u4e0b\u3002\u8fd9\u79cd\u5e45\u5ea6\u7684\u9006\u8f6c\u2014\u2014\u53d8\u5316\u5e45\u5ea6\u9ad8\u8fbe  65  \u4e2a\u767e\u5206\u70b9\u2014\u2014\u4e0e\u9ad8\u5ea6\u6613\u635f\u3001\u5bcc\u542b\u8102\u8d28\u7684\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u6210\u529f\u9006\u8f6c\u7684\u60c5\u51b5\u4e00\u81f4\u3002.<sup>6<\/sup> \u5bcc\u542b\u8102\u8d28\u548c\u708e\u75c7\u6210\u5206\u7684\u6591\u5757\u5bf9\u5f3a\u5316\u6cbb\u7597\u9ad8\u5ea6\u654f\u611f\uff0c\u800c\u9499\u5316\u6216\u81f4\u5bc6\u7684\u7ea4\u7ef4\u6027\u75c5\u53d8\u5219\u96be\u4ee5\u9006\u8f6c\u3002.<sup>6<\/sup><\/li>\n<li><strong>\u524d\u964d\u652f\u548c\u56de\u65cb\u652f\u5e7f\u6cdb\u589e\u5bbd\uff1a<\/strong> \u524d\u964d\u652f\u548c\u56de\u65cb\u652f\u6807\u51c6\u5316\u8282\u6bb5\u7684\u4e00\u81f4\u6027\u589e\u5bbd\u8868\u660e\u6574\u4e2a\u52a8\u8109\u58c1\u5f25\u6f2b\u6027\u52a8\u8109\u7ca5\u6837\u786c\u5316\u8d1f\u8377\u7684\u51cf\u8f7b\uff0c\u8fd9\u4ee3\u8868 <strong>\u52a8\u8109\u6b63\u6027\u91cd\u6784<\/strong>.<sup>8<\/sup> \u8fd9\u79cd\u666e\u904d\u6027\u7684\u6539\u5584\u6392\u9664\u4e86\u673a\u68b0\u5e72\u9884\uff08\u5982\u652f\u67b6\u690d\u5165\u672f\u6216\u8840\u7ba1\u6210\u5f62\u672f\uff09\u4f5c\u4e3a\u539f\u56e0\uff0c\u56e0\u4e3a\u673a\u68b0\u5e72\u9884\u4f1a\u5bfc\u81f4\u9ad8\u5ea6\u5c40\u7076\u6027\u7684\u6539\u5584\u3002.<sup>1<\/sup> \u6b64\u5916\uff0c\u7f3a\u4e4f\u5f02\u5e38\u6269\u5f20\u6392\u9664\u4e86\u51a0\u72b6\u52a8\u8109\u6269\u5f20\u7b49\u75c5\u7406\u6027\u6269\u5f20\u3002.<sup>9<\/sup><\/li>\n<\/ol>\n<h3>IV. \u75c5\u7406\u751f\u7406\u5b66\u4e0e\u6cbb\u7597\u610f\u4e49<\/h3>\n<p>\u663e\u7740\u7684\u8840\u7ba1\u9020\u5f71\u53d8\u5316\u662f\u52a8\u8109\u58c1\u5185\u6df1\u5c42\u4ee3\u8c22\u548c\u7ed3\u6784\u8f6c\u53d8\u7684\u7ed3\u679c\uff0c\u4ece\u800c\u8fbe\u5230\u4e86\u51c0\u7ca5\u6837\u6591\u5757\u4f53\u79ef\u6d88\u9664\u7684\u72b6\u6001\u3002.<sup>10<\/sup><\/p>\n<h4>A. \u4fc3\u4f7f\u7ca5\u6837\u6591\u5757\u4f53\u79ef\u51cf\u5c0f\u7684\u673a\u5236<\/h4>\n<p>\u6591\u5757\u6d88\u9000\u662f\u7531\u7279\u5b9a\u7684\u751f\u7269\u5b66\u6108\u5408\u673a\u5236\u9a71\u52a8\u7684\uff0c\u4e3b\u8981\u662f\u7ca5\u6837\u6591\u5757\u4f53\u79ef\u767e\u5206\u6bd4\uff08PAV\uff09\u7684\u51c0\u51cf\u5c11\u3002.<sup>10<\/sup> \u5173\u952e\u673a\u5236\u5305\u62ec\u589e\u52a0\u6ce1\u6cab\u7ec6\u80de\u7684\u80c6\u56fa\u9187\u5916\u6d41\u80fd\u529b\u4ee5\u53ca\u6e05\u9664\u6591\u5757\u6838\u5fc3\u5185\u542b\u7684\u574f\u6b7b\u7ec6\u80de\u788e\u7247\uff0c\u4ece\u800c\u5bfc\u81f4\u6591\u5757\u7269\u7406\u6027\u7f29\u5c0f\u3002.<sup>7<\/sup> \u6b64\u8fc7\u7a0b\u9700\u8981\u6cbb\u7597\u73af\u5883\u8fbe\u5230\u8840\u7ba1\u58c1\u80c6\u56fa\u9187\u6e05\u9664\u7387\u663e\u7740 <em>\u8d85\u8d8a<\/em> \u6c89\u79ef\u901f\u7387\uff0c\u5bfc\u81f4\u6591\u5757\u4f53\u79ef\u6301\u7eed\u51c0\u8d1f\u589e\u957f\u3002.<sup>11<\/sup><\/p>\n<h4>B. \u6cbb\u7597\u76f8\u5173\u6027\uff1a\u5f3a\u5316\u751f\u6d3b\u65b9\u5f0f\u6539\u53d8<\/h4>\n<p>\u8fd9\u79cd\u9006\u8f6c\u7684\u5e45\u5ea6\u548c\u6a21\u5f0f\u2014\u2014\u5373\u591a\u652f\u8840\u7ba1\u666e\u904d\u6539\u5584\u5e76\u4f34\u968f\u4e25\u91cd\u3001\u6f5c\u5728\u4e0d\u7a33\u5b9a\u75c5\u53d8\u7684\u5b8c\u5168\u6d88\u9000\u2014\u2014\u662f\u9ad8\u6548\u6cbb\u7597\u65b9\u6cd5\u7684\u6807\u5fd7\u6027\u7ed3\u679c\u3002\u8fd9\u79cd\u7a0b\u5ea6\u7684\u751f\u7269\u5b66\u6108\u5408\u4e0e\u4ee5\u4e0b\u63aa\u65bd\u7684\u5b9e\u65bd\u5bc6\u5207\u76f8\u5173\uff1a <strong>\u5f3a\u5316\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884<\/strong> \u7a0b\u5e8f.<sup>10<\/sup><\/p>\n<p>\u8fd9\u4e9b\u9879\u76ee\u901a\u5e38\u4ee5\u5965\u5c3c\u4ec0\u751f\u6d3b\u65b9\u5f0f\u533b\u5b66\u9879\u76ee\uff08Ornish Lifestyle Medicine Program\uff09\u4e3a\u84dd\u672c\uff0c\u5176\u8981\u6c42\u4e25\u683c\u7a0b\u5ea6\u8d85\u51fa\u4e86\u5e38\u89c4\u6307\u5357\uff0c\u901a\u5e38\u5305\u62ec <sup>10<\/sup>:<\/p>\n<ul>\n<li>\u5168\u98df\u690d\u7269\u6027\u996e\u98df\uff0c\u6781\u4f4e\u8102\u80aa\u548c\u7cd6\u5206\u3002.<sup>11<\/sup><\/li>\n<li>\u9002\u5ea6\u3001\u89c4\u5f8b\u7684\u8fd0\u52a8\u3002.<\/li>\n<li>\u7ed3\u6784\u5316\u7684\u51cf\u538b\u6280\u5de7\uff08\u4f8b\u5982\u745c\u4f3d\u548c\u51a5\u60f3\uff09\u3002.<\/li>\n<li>\u5f3a\u5316\u793e\u4f1a\u652f\u6301\u4ee5\u786e\u4fdd\u957f\u671f\u4f9d\u4ece\u6027\u3002.<\/li>\n<\/ul>\n<p>\u57282014\u5e74\u81f32018\u5e74\u7684\u56db\u5e74\u95f4\uff0c\u89c2\u5bdf\u5230\u6301\u7eed\u4e14\u663e\u8457\u7684\u75c5\u60c5\u9000\u7f29\uff0c\u8fd9\u6210\u4e3a\u4e86\u4e25\u683c\u9075\u5b88\u6b64\u7c7b\u9ad8\u5f3a\u5ea6\u6cbb\u7597\u65b9\u6848\u7684\u5ba2\u89c2\u8bc1\u636e\u3002.<sup>10<\/sup><\/p>\n<h3>V. \u4e34\u5e8a\u9884\u540e<\/h3>\n<p>\u5b9e\u73b0\u8840\u7ba1\u9020\u5f71\u4e0b\u7684\u6591\u5757\u6d88\u9000\u76f4\u63a5\u8f6c\u5316\u4e3a\u672a\u6765\u53d1\u751f\u4e3b\u8981\u4e0d\u826f\u5fc3\u8840\u7ba1\u4e8b\u4ef6\uff08MACE\uff09\u98ce\u9669\u7684\u964d\u4f4e\u3002.<\/p>\n<ul>\n<li><strong>\u98ce\u9669\u964d\u4f4e\uff1a<\/strong> \u4e00\u9879\u835f\u8403\u56de\u5f52\u5206\u6790\u8868\u660e\uff0c\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u4f53\u79ef\u767e\u5206\u6bd4\uff08PAV\uff09\u6bcf\u964d\u4f4e1%\uff0c\u53d1\u751f\u4e3b\u8981\u4e0d\u826f\u5fc3\u8840\u7ba1\u4e8b\u4ef6\uff08MACE\uff09\u7684 odds ratio \u5c31\u4f1a\u964d\u4f4e20%\u3002.<sup>13<\/sup> \u9274\u4e8e\u672c\u4f8b\u4e2d\u663e\u8457\u7684\u89c6\u89c9\u6539\u5584\uff0c\u4f30\u8ba1\u7684PAV\u51cf\u5c11\u662f\u663e\u7740\u7684\uff0c\u8fd9\u8868\u660e\u4ece2014\u5e74\u9ad8\u98ce\u9669\u7684\u52a8\u8109\u7ca5\u6837\u786c\u5316\u7279\u5f81\u53d1\u751f\u4e86\u91cd\u5927\u8f6c\u53d8\uff0c\u8f6c\u53d8\u4e3a2018\u5e74\u7a33\u5b9a\u4e14\u6781\u4f4e\u98ce\u9669\u7684\u7279\u5f81\u3002.<sup>13<\/sup><\/li>\n<li><strong>\u6591\u5757\u7a33\u5b9a\uff1a<\/strong> \u8fd9\u79cd\u6d88\u9000\u8868\u660e\uff0c\u5148\u524d\u4e0d\u7a33\u5b9a\u4e14\u6613\u7834\u88c2\u7684\u5bcc\u8102\u75c5\u53d8\u5728\u751f\u7269\u5b66\u4e0a\u5f97\u5230\u4e86\u7a33\u5b9a\uff0c\u5728\u7ed3\u6784\u4e0a\u5f97\u5230\u4e86\u7f29\u5c0f\u3002\u8fd9\u79cd\u7a33\u5b9a\u662f\u83b7\u5f97\u957f\u671f\u9884\u540e\u83b7\u76ca\u7684\u4e3b\u8981\u9a71\u52a8\u56e0\u7d20\u3002.<sup>6<\/sup><\/li>\n<\/ul>\n<h3>\u53c2\u8003\u6587\u732e<\/h3>\n<ol>\n<li class=\"li1\">Ibanez B\u3001Fern\u00e1ndez-Ortiz A\u3001Fern\u00e1ndez-Friera L\u3001Garc\u00eda-Lunar I\u3001Andr\u00e9s V\u3001Fuster V\u3002\u65e9\u671f\u4e9a\u4e34\u5e8a\u52a8\u8109\u7ca5\u6837\u786c\u5316\u8fdb\u5c55\uff08PESA\uff09\u7814\u7a76\uff1aJACC\u805a\u7126\u7814\u8ba8\u4f1a 7\/8\u3002.\u00a0<i>\u7f8e\u56fd\u5fc3\u810f\u75c5\u5b66\u4f1a\u6742\u5fd7<\/i>. 2021;78(2):156-179. doi:10.1016\/j.jacc.2021.05.011<\/li>\n<li class=\"li1\">\u8d85\u7ea7\u79d1 HR\uff0c\u514b\u52b3\u65af RM\u3002\u51a0\u72b6\u52a8\u8109\u75be\u75c5\u6d88\u9000\u3002\u79ef\u6781\u8fdb\u884c\u8102\u86cb\u767d\u7ba1\u7406\u7684\u76ca\u4ee4\u4eba\u4fe1\u670d\u7684\u8bc1\u636e\u3002.\u00a0<i>\u5faa\u73af<\/i>. 1994;90(2):1056-1069. doi:10.1161\/01.cir.90.2.1056<\/li>\n<li class=\"li1\">\u52a0\u7f57\u5185 P\uff0c\u6bd4\u7fc1\u8fea-\u4f50\u51ef G\uff0c\u8428\u5c14\u7ef4\u8482 I \u7b49\u3002\u5f53\u524d\u65f6\u4ee3\u7684\u5b9a\u91cf\u51a0\u72b6\u52a8\u8109\u9020\u5f71\uff1a\u539f\u7406\u4e0e\u5e94\u7528\u3002.\u00a0<i>\u5fc3\u8840\u7ba1\u9020\u5f71\u548c\u4ecb\u5165\u6742\u5fd7<\/i>. 2009;22(6):527-536. doi:10.1111\/j.1540-8183.2009.00491.x<\/li>\n<li class=\"li1\">Fencil LE, Doi K, Hoffman KR. \u4f7f\u7528\u7acb\u4f53DSA\u7cfb\u7edf\u51c6\u786e\u5206\u6790\u8840\u7ba1\u5927\u5c0f\u548c\u72ed\u7a84\u75c5\u53d8\u3002.\u00a0<i>\u6295\u8d44\u653e\u5c04\u5b66<\/i>. 1988;23(1):33-41. doi:10.1097\/00004424-198801000-00008<\/li>\n<li class=\"li1\">Popma JJ, Lansky AJ, Yeh W \u7b49\u3002\u65b0\u51a0\u72b6\u52a8\u8109\u4ecb\u5165\u6cbb\u7597\uff08NACI\uff09\u767b\u8bb0\u7814\u7a76\u4e2d\u5fc3\u91cf\u5316\u8840\u7ba1\u9020\u5f71\u6d4b\u91cf\u7684\u53ef\u9760\u6027\uff1a\u4e34\u5e8a\u7814\u7a76\u4e2d\u5fc3\u4e0e\u91cd\u590d\u8840\u7ba1\u9020\u5f71\u6838\u5fc3\u5b9e\u9a8c\u5ba4\u8bfb\u6570\u7684\u6bd4\u8f83\u3002.\u00a0<i>\u7f8e\u56fd\u5fc3\u810f\u75c5\u5b66\u6742\u5fd7<\/i>. 1997;80(10A):19K-25K. doi:10.1016\/s0002-9149(97)00761-3<\/li>\n<li class=\"li1\">Lionakis N, Briasoulis A, Zouganeli V \u7b49\u3002\u51a0\u72b6\u52a8\u8109\u7624\uff1a\u7efc\u5408\u7efc\u8ff0\u53ca\u5de6\u4e3b\u5e72\u51a0\u72b6\u52a8\u8109\u7624\u4e00\u4f8b\u62a5\u544a\u3002.\u00a0<i>Current Problems in Cardiology<\/i>. 2023;48(7):101700. doi:10.1016\/j.cpcardiol.2023.101700<\/li>\n<li class=\"li1\">\u4ea8\u6cfd\u5c14 J\uff0c\u51ef\u666e\u5361 C\uff0c\u514b\u9c81\u514b M \u7b49\u3002\u975e\u963b\u585e\u6027\u51a0\u72b6\u52a8\u8109\u75be\u75c5\u60a3\u8005\u63a5\u53d7\u5f3a\u5316\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u540e\u7684\u9ad8\u5371\u51a0\u72b6\u52a8\u8109\u6591\u5757\u6d88\u9000\uff1a\u4e00\u9879\u968f\u673a\u7814\u7a76\u3002.\u00a0<i>\u7f8e\u56fd\u5fc3\u810f\u75c5\u5b66\u4f1a\u6742\u5fd7\uff1a\u5fc3\u8840\u7ba1\u5f71\u50cf\u5b66<\/i>. 2021;14(6):1192-1202. doi:10.1016\/j.jcmg.2020.10.019<\/li>\n<li class=\"li1\">\u5df4\u96f7\u7279 TJ\u3002\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6d88\u9000\u4e2d\u7684\u5de8\u566c\u7ec6\u80de\u3002.\u00a0<i>\u52a8\u8109\u7ca5\u6837\u786c\u5316\u3001\u8840\u6813\u5f62\u6210\u4e0e\u8840\u7ba1\u751f\u7269\u5b66<\/i>. 2020;40(1):20-33. doi:10.1161\/ATVBAHA.119.312802<\/li>\n<li class=\"li1\">\u690d\u6728\u88d5\u3001\u677f\u57a3\u9686\u3001\u6851\u539f\u5b8f\u3002\u964d\u8102\u6cbb\u7597\u4e0e\u51a0\u72b6\u52a8\u8109\u6591\u5757\u6d88\u9000\u3002.\u00a0<i>\u52a8\u8109\u7ca5\u6837\u786c\u5316\u4e0e\u8840\u6813\u6742\u5fd7<\/i>. 2024;31(11):1479-1495. doi:10.5551\/jat.RV22024<\/li>\n<li class=\"li1\">\u5965\u5c3c\u4ec0 D\uff0c\u820d\u7ef4\u8328 LW\uff0c\u6bd4\u6797\u65af JH\uff0c\u7b49\u3002\u901a\u8fc7\u5f3a\u5316\u751f\u6d3b\u65b9\u5f0f\u6539\u53d8\u9006\u8f6c\u51a0\u5fc3\u75c5\u3002.\u00a0<i>\u7f8e\u56fd\u533b\u5b66\u4f1a\u6742\u5fd7<\/i>. 1998;280(23):2001-2007. doi:10.1001\/jama.280.23.2001<\/li>\n<li class=\"li1\">\u53e4\u5c14\u5fb7 KL\uff0c\u5965\u5c14\u5c3c\u4ec0 D\uff0c\u8c22\u5c14\u7ef4\u8328 L \u7b49\u3002\u957f\u671f\u3001\u5f3a\u5316\u5371\u9669\u56e0\u7d20\u5e72\u9884\u540e\u6b63\u7535\u5b50\u53d1\u5c04\u65ad\u5c42\u626b\u63cf\u5bf9\u5fc3\u808c\u704c\u6ce8\u5f02\u5e38\u7684\u6539\u53d8\u3002.\u00a0<i>\u7f8e\u56fd\u533b\u5b66\u4f1a\u6742\u5fd7<\/i>. 1995;274(11):894-901. doi:10.1001\/jama.1995.03530110056036<\/li>\n<li class=\"li1\">Shishikura D, Kataoka Y, Di Giovanni G, et al. \u8d85\u58f0\u6591\u5757\u8870\u51cf\u548c\u4f4e\u56de\u58f0\u7684\u8fdb\u5c55\u4e0e\u4e3b\u8981\u4e0d\u826f\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u76f8\u5173\u3002.\u00a0<i>\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u6742\u5fd7<\/i>. 2020;41(31):2965-2973. doi:10.1093\/eurheartj\/ehaa173<\/li>\n<li class=\"li1\"><span class=\"Apple-tab-span\">\u00a0<\/span>\u5e03\u91cc\u683c\uff08Brieger D\uff09\u3001\u6ce2\u8003\u514b\uff08Pocock SJ\uff09\u3001\u5e03\u5170\u80af\u4f2f\u683c\uff08Blankenberg S\uff09\u7b49\u3002\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u540e\u7a33\u5b9a\u9ad8\u5371\u60a3\u8005\u7684\u4e24\u5e74\u9884\u540e\uff1a\u6765\u81ea25\u4e2a\u56fd\u5bb6\u5168\u7403\u6ce8\u518c\u7814\u7a76\u7684\u89c1\u89e3\u3002.\u00a0<i>\u56fd\u9645\u5fc3\u810f\u75c5\u5b66\u6742\u5fd7<\/i>. 2020;311:7-14. doi:10.1016\/j.ijcard.2020.01.070<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"<p>\u52a8\u8109\u7ca5\u6837\u786c\u5316\u662f\u4e00\u79cd\u6162\u6027\u3001\u8fdb\u884c\u6027\u7684\u8840\u7ba1\u75be\u75c5\uff0c\u4f20\u7edf\u4e0a\u901a\u8fc7\u65e8\u5728\u5ef6\u7f13\u5176\u8fdb\u5c55\u7684\u5e72\u9884\u63aa\u65bd\u8fdb\u884c\u7ba1\u7406\u30021 \u8be5\u75c5\u7684\u53ef\u91cf\u5316\u9006\u8f6c\u2014\u2014\u5373\u7ed3\u6784\u6027\u9006\u8f6c\u2014\u2014\u662f\u5fc3\u8840\u7ba1\u75be\u75c5\u7ba1\u7406\u4e2d\u6700\u9ad8\u7684\u6cbb\u7597\u6548\u679c\u30022 \u8840\u7ba1\u9020\u5f71\u663e\u793a\uff0c\u6700\u5c0f\u7ba1\u8154\u76f4\u5f84\uff08MLD\uff09\u7684\u589e\u5927\u6216\u76f4\u5f84\u72ed\u7a84\u767e\u5206\u6bd4\uff08TP9TDS\uff09\u7684\u964d\u4f4e\u5747\u53ef\u4f5c\u4e3a\u75c5\u53d8\u9006\u8f6c\u7684\u8bc1\u636e\u3002.<\/p>","protected":false},"author":16,"featured_media":8398,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[218,221,223,224],"tags":[],"class_list":["post-8395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exercise-athletes-and-aging","category-peters-journey-and-records","category-plaque-arteries-and-disease","category-regression-and-reversal"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Expert Angiographic Evaluation of Coronary Artery Disease Regression: The 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