Department of Neurology, Vagelos College of Physicians and Surgeons and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York.
Stroke. 2022 Mar;53(3):1037-1042. doi: 10.1161/STROKEAHA.121.036763. Epub 2022 Jan 11.
This Presidential Address was delivered at the International Stroke Conference in March 2021, during the coronavirus pandemic. Dr Elkind, the President of the American Heart Association (AHA) at the time, is a vascular neurologist with a research focus on stroke epidemiology. This address interweaves personal reflections on a career in clinical neurology, stroke research, and public health with a discussion of the role of the AHA in improving cardiovascular health at multiple levels. Throughout its history, the AHA has had leaders representing many different areas of cardiovascular science and medicine, including stroke. More recently, its focus has expanded from a traditional emphasis on cardiovascular events illness and events, like heart disease and stroke, to an appreciation of the role of the vascular system in brain health, healthy aging, cognitive decline, and dementia. During the pandemic, as the bidirectional effects of the coronavirus on cardiovascular disease has been elucidated, the benefits of a broad and multidisciplinary approach to cardiovascular disease and public health have become more apparent than ever. In addition, with growing awareness of the disproportionate effects of the pandemic on communities of color in the United States and globally, the AHA has redoubled its focus on addressing the social determinants of health, including structural racism. Central to these efforts is the construction of bridges between the generation of scientific knowledge and action for the public good. Our success will depend on the combination of basic, translational, clinical and population research with programs of public and professional education, advocacy, and social action.
这篇主席演讲是在 2021 年 3 月的国际卒中大会上发表的，正值冠状病毒大流行期间。当时的美国心脏协会 (AHA) 主席 Elkind 博士是一名血管神经病学家，研究重点是卒中流行病学。这篇演讲将个人对临床神经病学、卒中研究和公共卫生事业的职业生涯的反思，与 AHA 在多个层面上改善心血管健康的作用的讨论交织在一起。在其历史上，AHA 的领导层代表了心血管科学和医学的许多不同领域，包括卒中。最近，其重点已从传统上对心血管事件（如心脏病和卒中）的关注扩展到对血管系统在大脑健康、健康老龄化、认知能力下降和痴呆症中的作用的认识。在大流行期间，随着冠状病毒对心血管疾病的双向影响被阐明，对心血管疾病和公共卫生采取广泛和多学科方法的好处变得比以往任何时候都更加明显。此外，随着人们越来越意识到这场大流行对美国和全球有色人种社区的不成比例影响，AHA 加倍重视解决健康的社会决定因素，包括结构性种族主义。这些努力的核心是在为公众利益构建科学知识和行动之间的桥梁。我们的成功将取决于将基础、转化、临床和人群研究与公共和专业教育、宣传和社会行动相结合。
