Williams Marlene S, Levine Glenn N, Kalra Dinesh, Agarwala Anandita, Baptiste Diana, Cigarroa Joaquin E, Diekemper Rebecca L, Foster Marva V, Gulati Martha, Henry Timothy D, Itchhaporia Dipti, Lawton Jennifer S, Newby L Kristin, Rogers Kelly C, Soni Krishan, Tamis-Holland Jacqueline E
ACC/AHA Joint Committee on Performance Measures.
Preventive Cardiovascular Nurses Association representative.
Circ Cardiovasc Qual Outcomes. 2025 Jun;18(6):e000140. doi: 10.1161/HCQ.0000000000000140. Epub 2025 Apr 30.
Chronic coronary disease (CCD) is the leading cause of death in the United States. There is an ongoing imperative to disseminate evidence-based and patient-centered care recommendations that further align the management of patients with CCD to updated evidence-based guidelines. The writing committee developed a comprehensive CCD measure set comprising 10 performance measures and 3 quality measures, the focus of which is to include practical steps to specifically advance care in the CCD population. The measure set begins with an assessment of tobacco use and evidence-based cessation interventions. Also included are topics such as antiplatelet therapy, lipid assessment and low-density lipoprotein cholesterol goals, and guideline-directed management and therapy for hypertension and reduced left ventricular dysfunction in patients with CCD. The measure set concludes with an emphasis on the importance of cardiac rehabilitation referral and patient education, including symptom management and lifestyle modification.
慢性冠状动脉疾病（CCD）是美国的主要死因。持续迫切需要传播基于证据且以患者为中心的护理建议，以使CCD患者的管理更符合最新的循证指南。撰写委员会制定了一套全面的CCD测量指标集，包括10项绩效指标和3项质量指标，其重点是纳入具体推进CCD人群护理的实际步骤。该指标集首先评估烟草使用情况和基于证据的戒烟干预措施。还包括抗血小板治疗、血脂评估和低密度脂蛋白胆固醇目标等主题，以及CCD患者高血压和左心室功能减退的指南指导管理和治疗。该指标集最后强调心脏康复转诊和患者教育的重要性，包括症状管理和生活方式改变。
