Feldman David I, Dudum Ramzi, Alfaddagh Abdulhamied, Marvel Francoise A, Michos Erin D, Blumenthal Roger S, Martin Seth S
The Ciccarone Center for the Prevention of Cardiovascular Disease, The Johns Hopkins Medical Institutions, Baltimore, MD.
Am J Prev Cardiol. 2020 Jun;2. doi: 10.1016/j.ajpc.2020.100027. Epub 2020 Jun 6.
In 2019, Preventive Cardiology welcomed many exciting discoveries that improve our ability to reduce the burden of cardiovascular disease (CVD) nationwide. Not only did 2019 further clarify how various environmental exposures and innate and acquired risk factors contribute to the development of CVD, but it also provided new guidelines and therapeutics to more effectively manage existing CVD. Cardiovascular disease prevention requires the prioritization of early and effective detection of CVD in order to implement aggressive lifestyle and pharmacologic therapies, which can slow, halt, or even reverse the progression of the disease. To help streamline and simplify the process of CVD prevention, The Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease has historically adopted an 'ABC' approach, which focuses on optimizing individual CVD risk through lifestyle, behavioral, and pharmacologic interventions. Given the practice changing research and innovation from the past year, this article intends to summarize the Ciccarone Center's key takeaways from CVD prevention in 2019 utilizing our expanded 'ABC' approach.
2019年,预防心脏病学领域迎来了许多令人振奋的发现,这些发现提高了我们在全国范围内减轻心血管疾病(CVD)负担的能力。2019年不仅进一步阐明了各种环境暴露以及先天和后天风险因素如何导致心血管疾病的发生,还提供了新的指南和治疗方法,以更有效地管理现有的心血管疾病。预防心血管疾病需要优先对心血管疾病进行早期和有效的检测,以便实施积极的生活方式和药物治疗,从而减缓、阻止甚至逆转疾病的进展。为了帮助简化和优化心血管疾病预防过程,约翰·霍普金斯大学西卡罗内心血管疾病预防中心一直采用“ABC”方法,该方法侧重于通过生活方式、行为和药物干预来优化个体心血管疾病风险。鉴于过去一年实践中不断变化的研究和创新,本文旨在利用我们扩展的“ABC”方法总结西卡罗内中心2019年在心血管疾病预防方面的关键要点。