Maqsood Muhammad Haisum, Kamal Omer, Charytan David
Research Fellow, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Postdoctoral Research Fellow, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Clin Med Insights Cardiol. 2020 Dec 8;14:1179546820975038. doi: 10.1177/1179546820975038. eCollection 2020.
Cardiovascular disease is one of the most common causes of death with social factors increasingly recognized as determinants of cardiovascular prognosis. Homelessness, transient or chronic, may be one of the factors which predict treatment access and eventual outcomes as socially and economically disadvantaged group has high prevalence of cardiovascular risk factors such as smoking, and delayed diagnosis and poor control of other risk factors such as diabetes and hypertension. This perspective article aims to discuss the issues associated with cardiovascular disease treatment, outcomes and future directions for homeless patients.
心血管疾病是最常见的死亡原因之一,社会因素越来越被认为是心血管疾病预后的决定因素。无论暂时还是长期无家可归,都可能是预测治疗机会和最终结果的因素之一,因为社会经济弱势群体中,心血管危险因素(如吸烟)的患病率很高,而且糖尿病和高血压等其他危险因素的诊断延迟且控制不佳。这篇观点文章旨在探讨与无家可归患者的心血管疾病治疗、结局及未来方向相关的问题。