Women's Heart Health Program of the Minneapolis Heart Institute Foundation and University of Minnesota, Minneapolis, Minnesota 55455, USA.
Curr Opin Cardiol. 2012 Sep;27(5):542-9. doi: 10.1097/HCO.0b013e328356db70.
This review highlights advances in the primary and secondary prevention of cardiovascular disease (CVD) in women in the preceding 12 months.
The American Heart Association (AHA) has recently published guidelines on the prevention of CVD in women, which brought new attention to this important topic. Limited progress has been made regarding an awareness of CVD among women, and modest progress has been made on the creation of health behavior change programs that effectively reduce smoking, increase physical activity and improve nutrition. Preventive therapies have been demonstrated to improve outcomes in women with diagnosed disease, but more research that includes women is required to further assess the benefits of primary preventive strategies and therapies.
A review of the literature from the past year confirms the recommendations and direction set in the AHA's updated prevention guidelines. This review illuminates promising new directions for practice and the need for future research focused on strategies to advance early and lasting lifestyle changes to promote cardiovascular health and the prevention of CVD. Adoption of and adherence to the guidelines, continued evaluation and publication of effective practice strategies, and ongoing research are critical to improve efforts to prevent CVD in women.
本篇综述重点介绍了过去 12 个月中女性心血管疾病(CVD)一级和二级预防方面的进展。
美国心脏协会(AHA)最近发布了女性 CVD 预防指南,该指南引起了人们对这一重要主题的新关注。女性对 CVD 的认识方面进展有限,并且在创建有效的健康行为改变计划以减少吸烟、增加身体活动和改善营养方面也仅有适度进展。预防疗法已被证明可改善确诊疾病女性的预后,但需要更多包括女性在内的研究,以进一步评估初级预防策略和疗法的获益。
对过去一年文献的回顾证实了 AHA 更新的预防指南中的建议和方向。本综述阐明了有前景的新实践方向,以及需要进一步研究旨在推进早期和持久生活方式改变以促进心血管健康和预防 CVD 的策略。指南的采用和遵守、持续评估和发布有效的实践策略以及持续研究对于改善女性 CVD 预防工作至关重要。