Brook J G, Rifkind B M
Lipid Research Unit, Rambam Medical Center, Faculty of Medicine, Technion, Haifa, Israel.
Eur Heart J. 1989 Aug;10(8):702-11. doi: 10.1093/oxfordjournals.eurheartj.a059554.
Recent research findings have enhanced interest in coronary heart disease prevention. Three expert panels, one in the United States and two in Europe, have addressed the subject and recommended appropriate action. The report of the United States Consensus Conference on Lowering Blood Cholesterol appeared in 1985, and the reports of the European Atherosclerosis Society and British Cardiac Society appeared in 1987. We discuss these reports and emphasize the proposals concerning cholesterol. We review the scientific background to the decisions of the expert panels, high-risk and population-based strategies, cholesterol screening and cholesterol reference levels for the initiation of treatment and therapeutic goals. Dietary recommendations are highlighted and the attention given to special groups such as women, the elderly and children is appraised. Finally, the recommendations of the reports regarding the other risk factors are discussed. We note the general consensus among them and outline the strategies and guidelines which advocate concerted effort to reduce the burden of coronary heart disease.
最近的研究结果激发了人们对冠心病预防的兴趣。三个专家小组，一个在美国，两个在欧洲，已探讨了这一主题并推荐了适当的行动。美国降低血胆固醇共识会议的报告于1985年发表，欧洲动脉粥样硬化学会和英国心脏病学会的报告于1987年发表。我们讨论这些报告并强调有关胆固醇的建议。我们回顾专家小组决策的科学背景、高危和基于人群的策略、胆固醇筛查以及开始治疗的胆固醇参考水平和治疗目标。突出了饮食建议并评估了对妇女、老年人和儿童等特殊群体的关注。最后，讨论了报告中关于其他危险因素的建议。我们注意到它们之间的普遍共识，并概述了主张共同努力减轻冠心病负担的策略和指南。
