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HEARTS应用程序:基层医疗中用于心血管风险和高血压管理的临床工具。

The HEARTS app: a clinical tool for cardiovascular risk and hypertension management in primary health care.

作者信息

Ordunez Pedro, Tajer Carlos, Gaziano Thomas, Rodriguez Yenny A, Rosende Andres, Jaffe Marc G

机构信息

Pan American Health Organization Washington, DC United States of America ORCID 0000-0002-9871-6845 ORCID 0000-0003-2026-572X ORCID 0000-0001-8173-0686 Pan American Health Organization, Washington, DC, United States of America; ORCID 0000-0002-9871-6845; ORCID 0000-0003-2026-572X; ORCID 0000-0001-8173-0686.

Hospital El Cruce Néstor Kirchner Buenos Aires Argentina ORCID 0000-0002-6787-6651 Hospital El Cruce Néstor Kirchner, Buenos Aires, Argentina; ORCID 0000-0002-6787-6651.

出版信息

Rev Panam Salud Publica. 2022 Mar 28;46:e12. doi: 10.26633/RPSP.2022.12. eCollection 2022.

Abstract

HEARTS in the Americas is the regional adaptation of the World Health Organization's Global Hearts Initiative, which will be the model for risk management for cardiovascular disease (CVD) in primary health care in the Region of the Americas by 2025. It has already been implemented in 21 countries and 1045 primary health care centers throughout Latin America and the Caribbean. It takes a public health and health systems approach to systematically introduce simplified interventions at the primary health care level and focuses on hypertension as a clinical entry point. This paper introduces a new, improved application (app), the main component of which is the calculator for CVD risk and hypertension management. The paper summarizes the risk assessment approach and the methodology used by the World Health Organization to update its cardiovascular risk charts in 2019; describes the app, its use, functionality and validation process; and provides a set of practical recommendations for optimizing CVD risk and hypertension management by using the app in clinical practice. The HEARTS app is a powerful tool to improve the quality of care provided in primary health settings. The creation and dissemination of the HEARTS app is an essential step in the journey towards eliminating preventable CVD in the Americas.

摘要

“美洲心脏计划”是世界卫生组织全球心脏倡议的区域适应性项目,到2025年,该计划将成为美洲区域初级卫生保健中心血管疾病(CVD)风险管理的典范。它已在拉丁美洲和加勒比地区的21个国家和1045个初级卫生保健中心实施。该计划采用公共卫生和卫生系统方法,在初级卫生保健层面系统地引入简化干预措施,并将高血压作为临床切入点。本文介绍了一种新的、经过改进的应用程序(应用),其主要组成部分是心血管疾病风险和高血压管理计算器。本文总结了世界卫生组织在2019年更新其心血管风险图表时所采用的风险评估方法和方法;描述了该应用程序、其用途、功能和验证过程;并提供了一套实用建议,以通过在临床实践中使用该应用程序来优化心血管疾病风险和高血压管理。“美洲心脏计划”应用程序是提高初级卫生保健机构所提供护理质量的有力工具。创建和传播“美洲心脏计划”应用程序是在美洲消除可预防的心血管疾病征程中的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f00e/8959249/23805e42588e/rpsp-46-e12_Figure1.jpg

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