Reamy Brian V, Williams Pamela M, Kuckel Daniel P
F. Edward Hebert School of Medicine, Uniformed Services University, Office of the Senior Associate Dean for Academic and Faculty Affairs, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Mike O'Callaghan Federal Medical Center, 99MDG/DME, 4700 Las Vegas Boulevard North, Nellis AFB, NV 89191, USA; F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD, USA.
Prim Care. 2018 Mar;45(1):25-44. doi: 10.1016/j.pop.2017.11.003.
Cardiovascular disease remains the leading cause of death in the United States and worldwide. Prevention of cardiovascular disease is an achievable goal. A rigorous 2010 analysis by the World Health Organization suggests that reducing risk factors in young adults and maintaining an optimum risk profile through age 50 could prevent 90% of atherosclerotic cardiovascular disease events. Misinformation and poor implementation of proven preventive strategies, misplaced fears of medications, or incorrect understanding of ideal dietary and lifestyle choices all contribute to poor risk profiles. Every patient deserves an individualized prescription for cardiovascular disease prevention incorporating strategies to control modifiable cardiovascular risk factors.
心血管疾病仍然是美国乃至全球的首要死因。预防心血管疾病是一个可以实现的目标。世界卫生组织2010年进行的一项严谨分析表明,降低年轻人的风险因素并在50岁之前保持最佳风险状况,可预防90%的动脉粥样硬化性心血管疾病事件。错误信息、已证实的预防策略实施不力、对药物的无端恐惧或对理想饮食和生活方式选择的错误理解,都会导致不良的风险状况。每位患者都应获得一份个性化的心血管疾病预防处方,其中包含控制可改变的心血管风险因素的策略。