Cardiovascular Rehabilitation Department, CH Loire-Vendée-Océan, boulevard des Régents, BP 2, 44270 Machecoul, France.
Arch Cardiovasc Dis. 2013 Dec;106(12):680-9. doi: 10.1016/j.acvd.2013.10.002. Epub 2013 Nov 15.
Cardiovascular mortality has decreased over the past 25 years, largely because of acute coronary syndrome care and preventive actions. Nevertheless, the rate of coronary heart disease remains high, with an annual risk of 4.7% (cardiac mortality, myocardial infarction, stroke). Cardiovascular risk factor management must be a priority in primary and secondary prevention, to improve the prognosis of this severe disease, in which absence of symptoms does not mean benignity. The current goals of therapeutic patient education are smoking cessation, regular physical activity, a cardioprotective (Mediterranean) diet, management of stress, good treatment adherence (which improves compliance), judicious use of the care system and help with occupational reintegration. Current and future programmes must be in accordance with the Haute Autorité de Santé recommendations published in 2007.
在过去的 25 年中，心血管死亡率有所下降，这主要得益于急性冠状动脉综合征的治疗和预防措施。然而，冠心病的发病率仍然很高，年风险为 4.7%（包括心脏死亡率、心肌梗死和中风）。心血管危险因素的管理必须是初级和二级预防的重点，以改善这种严重疾病的预后，因为无症状并不意味着良性。目前，治疗性患者教育的目标是戒烟、定期体育锻炼、心脏保护（地中海）饮食、控制压力、提高治疗依从性（从而提高遵医嘱性）、谨慎使用医疗系统以及帮助职业再融入。当前和未来的方案必须符合 2007 年法国健康管理局发布的建议。
