Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, Md.
Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, Md.
Am J Med. 2019 Jun;132(6):e569-e580. doi: 10.1016/j.amjmed.2019.01.016. Epub 2019 Jan 31.
Efforts to better control risk factors for cardiovascular disease and prevent the development of subsequent events are crucial to maintaining healthy populations. In today's busy practice environment and with the overwhelming pace of new research findings, ensuring appropriate emphasis and implementation of evidence-based preventive cardiovascular care can be challenging. The ABCDEF approach to cardiovascular disease prevention is intended to improve dissemination of contemporary best practices and facilitate the implementation of comprehensive preventive strategies for clinicians. This review serves as a succinct yet authoritative overview for internists and subspecialty cardiologists not otherwise focused on cardiovascular prevention. The goal of this 2-part series is to compile a state-of-the-art list of elements central to both primary and secondary prevention of cardiovascular disease, using an ABCDEF checklist, with particular focus on recent society guideline updates. In Part 1 we highlight developments in cardiovascular risk assessment tools, summarize important recent aspirin trials, discuss prevention considerations in atrial fibrillation, and review guidelines for blood pressure categorization, goals, and therapy.
努力更好地控制心血管疾病的风险因素并预防后续事件的发生,对于维护健康人群至关重要。在当今繁忙的实践环境中,面对压倒性的新研究发现的步伐,确保适当强调和实施基于证据的预防心血管护理可能具有挑战性。ABCDEF 方法旨在改善当代最佳实践的传播,并为临床医生实施综合预防策略提供便利。这篇综述为内科医生和心脏病学专家提供了简洁而权威的概述,这些专家通常不专注于心血管预防。本系列的目标是使用 ABCDEF 检查表,编译一份最新的、与心血管疾病一级和二级预防相关的核心要素清单,特别关注最近的社会指南更新。在第 1 部分中,我们强调了心血管风险评估工具的发展,总结了最近的阿司匹林试验,讨论了心房颤动的预防注意事项,并回顾了血压分类、目标和治疗的指南。