Circ Cardiovasc Qual Outcomes. 2023 Sep;16(9):e000120. doi: 10.1161/HCQ.0000000000000120. Epub 2023 Aug 7.
Cardiovascular disease risk factors are highly prevalent among youth in the United States and Canada. Pediatric preventive cardiology programs have independently developed and proliferated to address cardiovascular risk factors in youth, but there is a general lack of clarity on best practices to optimize and sustain desired outcomes. We conducted surveys of pediatric cardiology division directors and pediatric preventive cardiology clinicians across the United States and Canada to describe the current landscape and perspectives on future directions for the field. We summarize the data and conclude with a call to action for various audiences who seek to improve cardiovascular health in youth, reduce the burden of premature cardiovascular disease, and increase healthy longevity. We call on heart centers, hospitals, payers, and policymakers to invest resources in the important work of pediatric preventive cardiology programs. We urge professional societies to advocate for pediatric preventive cardiology and provide opportunities for training and cross-pollination across programs. We encourage researchers to close evidence gaps. Last, we invite pediatric preventive cardiology clinicians to collaborate and innovate to advance the practice of pediatric preventive cardiology.
心血管疾病风险因素在美国和加拿大的年轻人中普遍存在。儿科预防心脏病学计划已经独立发展并普及，以解决年轻人的心血管风险因素，但在优化和维持理想结果的最佳实践方面普遍缺乏明确性。我们对美国和加拿大的儿科心脏病学部门主任和儿科预防心脏病学临床医生进行了调查，以描述该领域的现状和未来方向的观点。我们总结了数据，并呼吁希望改善年轻人心血管健康、降低早发性心血管疾病负担和增加健康长寿的各个受众采取行动。我们呼吁心脏中心、医院、支付方和政策制定者为儿科预防心脏病学计划的重要工作投入资源。我们敦促专业协会倡导儿科预防心脏病学，并为培训和跨计划交叉授粉提供机会。我们鼓励研究人员缩小证据差距。最后，我们邀请儿科预防心脏病学临床医生合作和创新，以推进儿科预防心脏病学的实践。
