非酒精性脂肪肝纤维化的非侵入性血清标志物:检测心血管疾病患者的潜在工具。

IF 2.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Reviews in cardiovascular medicine Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI:10.31083/j.rcm2509344
Ling-Zi Chen, Xu-Bin Jing, Xiang Chen, Yan-Chun Xie, Yun Chen, Xian-Bin Cai
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引用次数: 0

摘要

非酒精性脂肪肝(NAFLD)是最常见的慢性肝病之一,全球发病率为 23%-25%,是心血管疾病(CVDs)的独立危险因素。越来越多的证据表明,从非酒精性脂肪肝(NAFL)、非酒精性脂肪性肝炎(NASH)、晚期肝纤维化到肝硬化,甚至肝细胞癌,非酒精性脂肪肝的发展是心血管疾病的重要风险因素,在临床上导致心血管疾病的发病率和死亡率增加。评估肝纤维化的无创血清标志物,如肝纤维化-4(FIB-4)评分、天冬氨酸转氨酶与血小板比值指数(APRI)和非酒精性脂肪肝纤维化评分(NFS),有望成为心血管疾病患者临床管理的有用工具。本综述旨在概述非酒精性脂肪肝进展与心血管疾病之间关系的证据,以及肝纤维化无创标记物在心血管疾病患者管理中的临床应用。
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Non-Invasive Serum Markers of Non-Alcoholic Fatty Liver Disease Fibrosis: Potential Tools for Detecting Patients with Cardiovascular Disease.

Non-alcoholic fatty liver disease (NAFLD), one of the most common chronic liver diseases with a prevalence of 23%-25% globally, is an independent risk factor for cardiovascular diseases (CVDs). Growing evidence indicates that the development of NAFLD, ranging from non-alcoholic fatty liver (NAFL), non-alcoholic steatohepatitis (NASH), advanced fibrosis to cirrhosis, and even hepatocellular carcinoma, is at substantial risk for CVDs, which clinically contribute to increased cardiovascular morbidity and mortality. Non-invasive serum markers assessing liver fibrosis, such as fibrosis-4 (FIB-4) score, aspartate transaminase-to-platelet ratio index (APRI), and NAFLD fibrosis score (NFS), are expected to be useful tools for clinical management of patients with CVDs. This review aims to provide an overview of the evidence for the relationship between the progression of NAFLD and CVDs and the clinical application of non-invasive markers of liver fibrosis in managing patients with CVDs.

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来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
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