The Biggest Unmet Needs in Cardiovascular Disease Prevention in 2023.

IF 1.9 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology Pub Date : 2024-01-01 Epub Date: 2023-08-04 DOI:10.1159/000533285
Ian M Graham
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引用次数: 0

Abstract

Background: While the major causes of atherosclerotic cardiovascular disease (CVD) are known, clinical audits continue to show inadequate risk factor control, even in the highest risk subjects. More effective risk estimation methods may help, and advances in this field are outlined. There exist excellent guidelines on CVD prevention, but their very length and complexity may limit their use. Other factors inhibiting guideline implementation are explored.

Summary: While new medications continue to be developed, the real challenges to effective CVD prevention are societal and political. Both nationally and at European levels, cohesive, integrated strategies with defined responsibilities and accountability are needed, together with empowerment of people to understand the concept of risk and what they can do about it.

Key messages: There are profound health inequalities between and within countries that need to be addressed.

2023 年心血管疾病预防领域最大的未满足需求。
1.尽管动脉粥样硬化性心血管疾病的主要病因已众所周知,但临床审计仍显示风险因素控制不足,即使是在风险最高的人群中也是如此。2.2. 更有效的风险评估方法可能会有所帮助,本文概述了这一领域的进展。3.3. 目前已有很好的心血管疾病预防指南,但其篇幅和复杂性可能会限制其使用。探讨了阻碍指南实施的其他因素。4.虽然新药不断问世,但有效预防心血管疾病的真正挑战在于社会和政治因素。无论是在国家层面还是在欧洲层面,都需要制定具有明确责任和问责制的统一综合战略,同时增强人们的能力,让他们了解风险的概念以及他们可以做些什么。5.国家之间和国家内部存在着严重的健康不平等,需要加以解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cardiology
Cardiology 医学-心血管系统
CiteScore
3.40
自引率
5.30%
发文量
56
审稿时长
1.5 months
期刊介绍: ''Cardiology'' features first reports on original clinical, preclinical and fundamental research as well as ''Novel Insights from Clinical Experience'' and topical comprehensive reviews in selected areas of cardiovascular disease. ''Editorial Comments'' provide a critical but positive evaluation of a recent article. Papers not only describe but offer critical appraisals of new developments in non-invasive and invasive diagnostic methods and in pharmacologic, nutritional and mechanical/surgical therapies. Readers are thus kept informed of current strategies in the prevention, recognition and treatment of heart disease. Special sections in a variety of subspecialty areas reinforce the journal''s value as a complete record of recent progress for all cardiologists, internists, cardiac surgeons, clinical physiologists, pharmacologists and professionals in other areas of medicine interested in current activity in cardiovascular diseases.
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