Cvd Prevention and Control最新文献

{"title":"Letter from APSC Section Editor","authors":"","doi":"10.1016/j.cvdpc.2010.04.002","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.04.002","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Page 3"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91777268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart Failure in NCVC Jakarta and 5 hospitals in Indonesia","authors":"Bambang Budi Siswanto ,&nbsp;Basuni Radi ,&nbsp;Harmani Kalim ,&nbsp;Anwar Santoso ,&nbsp;Rurus Suryawan ,&nbsp;Erwinanto ,&nbsp;Eko Antono ,&nbsp;T. Santoso ,&nbsp;On behalf of all ADHERE study Indonesia team 2006","doi":"10.1016/j.cvdpc.2010.03.005","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.03.005","url":null,"abstract":"<div><p>Indonesia is an archipelago consisting of 17,000 islands (6000 inhabited) to spanning by the equator in South East Asia. The total area is 741,096<!--> <!-->sq<!--> <!-->mil (1,919,440<!--> <!-->km<!--> <!-->sq). The population in 2005 was 241,973,879, with a population growth rate of 1.5%, a birth rate of 20.7/1000 population and a life expectancy of 69.6<!--> <!-->years. There are 1246 hospitals in Indonesia, of which 49.8% are in private hospitals and 50.5% are located in Java. There is a total of 132,231 beds or one hospital bed per 1628 population.</p><p>In 2005 we did a pilot cohort study of 100 consecutive new cases of Acute Decompensated Heart Failure (ADHF) at NCVC Jakarta to search for predictors of mortality and re-hospitalization. We found the independent predictors for mortality and re-hospitalization are high NT proBNP at entry, NT proBNP at discharge, not decreased<!--> <!-->&gt;35% during hospitalization, NYHA functional class 4, edema with a BMI<!--> <!-->&gt;30<!--> <!-->kg/m², ejection fraction<!--> <!-->&lt;20%, acute pulmonary edema, not on a beta-blocker, hemoglobin<!--> <!-->&lt;12<!--> <!-->g/dl and Hyponatremia<!--> <!-->&lt;130<!--> <!-->mmol/L. More than 78% using ACEI/ARB, diuretic and aldosterone antagonist, but only 32% using beta-blocker.</p><p>In 2006, we conducted an Acute Decompensated Heart Failure Registry (ADHERE) with the participation of five hospitals including National Cardiovascular Center (NCVC) Jakarta, the top cardiovascular referral hospital. In total, there were 1687 patients admitted with ADHF. The mean age was 60<!--> <!-->years and male patients were 64.5%. Compared to other countries, our heart failure patients were younger, had more severe symptoms and there were more new patients (de novo acute ADHF). Hypertension (54.8%), coronary artery disease (49.9%), diabetes (31.2%), myocardial infarction (23.3%) and atrial fibrillation (14.6%) are the leading etiologies of our ADHF patients. There were 62.7% patients with ejection fraction (EF)<!--> <!-->&lt;40% and the mean EF was 33%. The median hospital length of stay was 7.1<!--> <!-->days and the hospital mortality was 6.7% <span>[15]</span>.</p><p>In NCVC Jakarta, compliance with medical evaluation and drugs and diets are the predictors of hospitalizations. There were 47%, non compliant patients and the survival probability at 5<!--> <!-->years was only 54%. The 5<!--> <!-->year predictors of mortality are poor EF, Diabetes and male gender. The 5<!--> <!-->year survival of males with poor EF and Diabetes was only 36%. Among socio-economic factors, only 33.5% had health insurance and 54.5% lived &gt;20<!--> <!-->km from hospital <span>[16]</span>.</p><p>There are increasing numbers of hospitalized heart failure patients in NCVC Jakarta. In 2007 there were 1409 patients and an increase in 2008 to 1476 hospital admissions. Also there has been an increase in in-hospital morality to around 12 %.</p></div><div><h3>Conclusion</h3><p>Hea","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Pages 35-38"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91777272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-hospital outcome of primary percutaneous coronary intervention for the management of acute ST-segment elevation myocardial infarction in a Bangladeshi population","authors":"Salim Ma, Fazila-tun-nesa Malik, Nazir Ahmed, M. Badiuzzaman, R. J. Khan, K.M.H.S. Sirajul Haque, Abdul Malik","doi":"10.1016/J.CVDPC.2010.03.002","DOIUrl":"https://doi.org/10.1016/J.CVDPC.2010.03.002","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"4 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90645123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Message from the President of the APSC","authors":"","doi":"10.1016/j.cvdpc.2010.04.003","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.04.003","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Page 5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90130471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heart Failure in NCVC Jakarta and 5 hospitals in Indonesia","authors":"B. Siswanto, B. Radi, H. Kalim, A. Santoso, R. Suryawan, Erwinanto, Eko Antono, T. Santoso","doi":"10.1016/J.CVDPC.2010.03.005","DOIUrl":"https://doi.org/10.1016/J.CVDPC.2010.03.005","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"121 1","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78429689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cessation coverage in Argentina: A qualitative study about its barriers and facilitating factors","authors":"Mariana Bárbara Specogna","doi":"10.1016/j.cvdpc.2010.03.004","DOIUrl":"10.1016/j.cvdpc.2010.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>To identify barriers and facilitating factors for the inclusion of tobacco cessation treatment coverage in the Argentine health system and to outline priority health policies for the development of smoking cessation programs.</p></div><div><h3>Methods</h3><p>A qualitative methodology was used based on in-depth interviews conducted with key informants from the State, NGOs and the health insurance sector.</p></div><div><h3>Results</h3><p>Nine barriers were identified: tobacco consumption is not appreciated as an addiction or illness; lack of a culture of prevention in the health system; lack of agreement on the relevance of coverage in all clinical cases; mistrust about policy-making decisions made under pressure from various lobbies; lack of agreement about the importance of the different components of cessation; fear of overloading the health system with additional expenses; prioritization of other tobacco control interventions as being more effective; health professionals not completely trained to deliver cessation treatment. Four main facilitating factors were recognized: consensus about the necessity of cessation treatment coverage; magnitude of the problem of tobacco use; pressure from a more informed society for the inclusion of coverage; the emergence of new paradigms for the inclusion of health public policies.</p></div><div><h3>Conclusions</h3><p>The barriers create a vicious circle: members of the health care system do not fully appreciate the issues related to smoking, which leads to an inappropriate set of priorities resulting in a lack of preventive policies and insufficient health practices and interventions to curb the problem. However, this situation is changing since the facilitating factors are gaining strength, an observation supported by the changes witnessed in Argentina over the last few years.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Pages 7-11"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86087367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of clinical characteristics, medications, and outcome between acute stroke and acute myocardial infarction","authors":"Ansam F. Sawalha","doi":"10.1016/j.cvdpc.2009.12.002","DOIUrl":"10.1016/j.cvdpc.2009.12.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective of this study was to compare acute stroke (AS) and acute myocardial infarction (AMI) in terms of clinical characteristics, medications at discharge, and in-hospital outcomes.</p></div><div><h3>Methods</h3><p>Data were obtained from personal interviews as well as the medical files of the patients admitted to Al-wattani hospital, Palestine in the period September 2006 until August 2007. All data were analyzed using SPSS v15. Chi-square and student’s <em>t</em> test were used to test for significance.</p></div><div><h3>Results</h3><p>A total of 281 patients were included, 186 had AS and 95 had AMI. AMI patients were significantly younger than those with AS (<em>P</em> <!-->=<!--> <!-->0.000). Hypertension (HTN) (% 69.9) was the most prevalent risk factor for AS patients, while diabetes mellitus (DM) (46.3%) was the most prevalent risk factor for AMI patients. The prevalence of the following risk factors was significantly different between AS and AMI: HTN (<em>P</em> <!-->=<!--> <!-->0.000), previous stroke (<em>P</em> <!-->=<!--> <!-->0.000), and atrial fibrillation (<em>P</em> <!-->=<!--> <span>0.027). Antiplatelets (</span><em>P</em> <!-->=<!--> <!-->0.000), statins (<em>P</em> <!-->=<!--> <!-->0.000), and beta blockers (<em>P</em> <!-->=<!--> <span>0.005) were prescribed significantly more for patients with AMI than for patients with AS at discharge. However, ACE-I was the only class that was prescribed significantly (</span><em>P</em> <!-->=<!--> <!-->0.000) more for AS patients compared to AMI. In-hospital mortality among both groups was 20.9% for AS and 16.8% for AMI. There was no significant difference in in-hospital mortality between AS and AMI patients regardless of age. Gender differences in in-hospital mortality between AS and AMI were observed. AS was significantly (<em>P</em> <!-->=<!--> <!-->0.010) more fatal than AMI for males. However, AMI was significantly (<em>P</em> <!-->=<!--> <!-->0.048) more fatal than AS in female patients. Furthermore, males who died after AMI were significantly younger than those who died after AS (<em>P</em> <!-->=<!--> <!-->0.001).</p></div><div><h3>Conclusion</h3><p>AMI affects people at early life phases compared to AS. HTN and DM are among the common risk factors. Prescribing of medications for secondary prevention could be improved. Gender and age differences in outcome are seen in both AS and AMI patients.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"4 4","pages":"Pages 201-206"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2009.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78242926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PAHO/WHO Regional Expert Group Policy Statement – Preventing cardiovascular disease in the Americas by reducing dietary salt intake population-wide","authors":"N. Campbell,&nbsp;B. Legowski,&nbsp;B. Legetic,&nbsp;R. Wilks,&nbsp;A.B. Pinto de Almeida Vasconcellos,&nbsp;On behalf of the PAHO/WHO Regional Expert Group on Cardiovascular Disease Prevention through Dietary Salt Reduction.","doi":"10.1016/j.cvdpc.2009.12.003","DOIUrl":"10.1016/j.cvdpc.2009.12.003","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"4 4","pages":"Pages 189-191"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2009.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79347179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated non-communicable disease control program in a Northern part of India: Lessons from a demonstration project in low resource settings of a developing country","authors":"J.S. Thakur ,&nbsp;Star Pala ,&nbsp;Yashpaul Sharma ,&nbsp;Sanjay Jain ,&nbsp;Savita Kumari ,&nbsp;Rajesh Kumar","doi":"10.1016/j.cvdpc.2009.11.001","DOIUrl":"10.1016/j.cvdpc.2009.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Chandigarh healthy heart action project (CHHAP) was initiated in 2004 to increase awareness in the community for the major NCD risk factors by health promotion, training of health staff for CVD risk assessment and management, and surveillance of NCD risk factors.</p></div><div><h3>Methods</h3><p>Key strategies included capacity building, health promotion in different settings, risk factor surveillance and advocacy. Educational materials for the project included modules for doctors, health workers and school teachers; brochures, WHO protocol charts for CVD risk assessment and management, handbills and posters. Multiple health promotion activities were undertaken. An intersectoral committee for policy issues and a coordination committee for technical issues were also constituted.</p></div><div><h3>Results</h3><p>Most of doctors in public (245) and private sectors (150), health workers (227), school teachers (190) and pharmacists/staff nurses (181) were trained for CVD assessment and management in batches during 2005–07. NCD risk factor surveillance encompassed 2763 individuals in the population of Chandigarh. The prevalence of smoking was 10.2% (20.1% among males and 0.8% among females). Alcohol was consumed by 14.2% (26.8% males and 1.2% females). A sedentary occupation was identified in 94.2% in Chandigarh. Due to strong advocacy, Chandigarh was declared a smoke free city from July 2007, which is a first in the developing world, and the project was up scaled to an integrated State NCD control program in the 11th 5-year plan (2007–12).</p></div><div><h3>Conclusion</h3><p>CHHAP is a large-scale implementation of the WHO CVD risk management package, implemented as a routine in the health care delivery system.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"4 4","pages":"Pages 193-199"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2009.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73133511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volume Contents for CVD Prevention and Control, Volume 3","authors":"","doi":"10.1016/S1875-4570(10)00018-5","DOIUrl":"https://doi.org/10.1016/S1875-4570(10)00018-5","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"4 4","pages":"Pages III-V"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1875-4570(10)00018-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136818449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}