Israelsson B, Stagmo M, Alm C, Cline C, Westin L, Willenheimer R, Carlsson R
Sektionen för kardiologi, Hjärt-Lungkliniken, Universitetssjukhuset MAS, Malmö.
Nord Med. 1995;110(8-9):221-3.
The positive effects of cholesterol-lowering therapy in coronary artery disease are well recognised. This study, on 99 consecutive coronary artery bypass grafted patients, shows that an intensive one-year follow-up at a secondary prevention specialist clinic significantly improves cholesterol levels compared to conventional follow-up in the primary health care system. However, these positive results are not consistent after a 2.6 year return to the primary health care. Consequently, improved collaboration between hospital and primary health care physicians in the development of structured secondary prevention programmes is essential.
降低胆固醇疗法在冠状动脉疾病中的积极作用已得到充分认可。这项针对99例连续接受冠状动脉搭桥手术患者的研究表明,与初级卫生保健系统中的常规随访相比,在二级预防专科诊所进行为期一年的强化随访能显著改善胆固醇水平。然而,在回归初级卫生保健2.6年后,这些积极结果并不一致。因此,医院和初级卫生保健医生在制定结构化二级预防计划方面加强合作至关重要。