Coope J R
Bollington Medical Centre, Macclesfield, Cheshire, UK.
J Hum Hypertens. 1995 Oct;9(10):785-6.
Recent studies have demonstrated little benefit from multifactorial screening for coronary heart disease risk factors in family practice. The evidence in favour of a high risk approach, however, particularly for cholesterol lowering in the 5% of the population with known coronary heart disease is now stronger than ever. More effort will also be needed to find the older patients with levels of hypertension that need treatment in accordance with present guidelines. Finally a more committed approach should be made to stopping smoking especially in the young.
最近的研究表明，在家庭医疗中对冠心病风险因素进行多因素筛查益处不大。然而，支持高风险干预方法的证据，特别是针对已知患有冠心病的5%人群进行降胆固醇治疗的证据，如今比以往任何时候都更有力。还需要付出更多努力，去发现那些高血压水平需要按照现行指南进行治疗的老年患者。最后，应该采取更坚定的方法来戒烟，尤其是在年轻人中。
