Lennon Robert P, Claussen Keith A, Kuersteiner Karl A
Naval Hospital Jacksonville, Jacksonville, FL 32214, USA.
Eastern Virginia Medical School, Norfolk, VA 23507, USA.
Prim Care. 2018 Mar;45(1):1-15. doi: 10.1016/j.pop.2017.11.001.
Cardiovascular diseases are prevalent worldwide and have significant impact on morbidity, mortality, and overall health care costs. Common risk factors include obesity, hypertension, hyperlipidemia, diabetes mellitus, chronic kidney disease, and smoking. Both modifiable and nonmodifiable risks should be accounted for when evaluating and managing patients with cardiovascular diseases. The complex nature of cardiovascular disease is not fully understood. Therefore, primary care physicians must balance what is known, what is suspected, and each patient's individual preferences to create an optimal treatment plan.
心血管疾病在全球范围内普遍存在,对发病率、死亡率和整体医疗保健成本有着重大影响。常见的风险因素包括肥胖、高血压、高脂血症、糖尿病、慢性肾脏病和吸烟。在评估和管理心血管疾病患者时,应同时考虑可改变和不可改变的风险因素。心血管疾病的复杂性尚未完全被理解。因此,初级保健医生必须在已知信息、疑似情况和每个患者的个人偏好之间取得平衡,以制定出最佳的治疗方案。