Preventive cardiology最新文献_第9页

Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelines. 医生对采用国家胆固醇教育计划指南的障碍和促进因素的看法。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1520-037x.2007.07200.x

Donna R Parker, Robert Gramling, Roberta E Goldman, Charles B Eaton, David Ahern, Rebecca T Cover, Jeffrey Borkan

{"title":"Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelines.","authors":"Donna R Parker, Robert Gramling, Roberta E Goldman, Charles B Eaton, David Ahern, Rebecca T Cover, Jeffrey Borkan","doi":"10.1111/j.1520-037x.2007.07200.x","DOIUrl":"https://doi.org/10.1111/j.1520-037x.2007.07200.x","url":null,"abstract":"Despite the impact of high-visibility evidence-based clinical practice guidelines, physician adherence to guidelines remains low. This study explored primary care physicians' perceptions of barriers and facilitators in following the National Cholesterol Education Program guidelines. The authors conducted 9 focus groups and performed qualitative content analysis utilizing immersion-crystallization processes, codebooks, and qualitative coding software. Key barriers to implementing guidelines included the complexity and transience of existing cholesterol guidelines as well as perceived threats to multidimensional care of the patient that unifocal single-decision guidelines may create. Key facilitators included growing patient awareness regarding cholesterol, patients' willingness to take cholesterol medication, and technological breakthroughs. These findings have helped identify factors that prevent or enhance the adoption of cholesterol guidelines. While factors considered to be facilitators are significant, barriers may be sufficient to limit adherence. Opportunities may exist for improving adherence to cholesterol guidelines by providing training to providers and developing structural support through patient-physician activation tools.","PeriodicalId":83876,"journal":{"name":"Preventive cardiology","volume":"11 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1520-037x.2007.07200.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27206231","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}

引用次数: 17

Diabetes Control and Cardiovascular Risk: ACCORD, ADVANCE, AVOID, and SANDS. 糖尿病控制和心血管风险:ACCORD, ADVANCE, AVOID和SANDS。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.00006.x

Philip R Liebson

引用次数: 4

Early childhood diet, overweight, and cardiovascular risk. 幼儿饮食、超重和心血管风险。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1520-037x.2007.07647.x

Kathleen M McTigue, Lewis H Kuller

引用次数: 0

Counseling patients to make cardioprotective lifestyle changes: strategies for success. 指导病人改变保护心脏的生活方式:成功的策略。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1520-037x.2007.07662.x

Barry A Franklin, Thomas E Vanhecke

引用次数: 14

The accuracy of aneroid sphygmomanometers in the ambulatory setting. 无体液血压计在动态环境下的准确性。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.06600.x

Timothy A Moore, Alexey V Sorokin, Colin Hirst, Sherell Thornton-Thompson, Paul D Thompson

引用次数: 8

The atherosclerotic aortic arch: considerations in diagnostic imaging. 动脉粥样硬化性主动脉弓:影像学诊断的考虑。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.08296.x

Joshua M Gottsegen, Neil L Coplan

引用次数: 17

Global risk, women, men: what's the score? 全球风险，女性，男性:得分是多少?

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.07755.x

Ezra A Amsterdam, Melissa Robinson

引用次数: 0

The "null effect" of low-density lipoprotein cholesterol lowering on a modest baseline intima-media thickness: lessons learned from the ENHANCE trial. 低密度脂蛋白胆固醇降低适度基线内膜-中膜厚度的“无效效应”:从ENHANCE试验中获得的经验教训。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.08624.x

Barry A Franklin, Peter A McCullough

引用次数: 0

Noninvasive coronary angiography: a revolutionary technique seeking its role in patient care. 无创冠状动脉造影术:一项革命性的技术，寻求其在病人护理中的作用。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.07759.x

Ezra A Amsterdam, Gary R Caputo

引用次数: 2

Relation of heart rate with cardiovascular disease in normal-weight individuals: the Chicago Heart Association Detection Project in Industry. 正常体重个体心率与心血管疾病的关系:芝加哥心脏协会工业检测项目。

Preventive cardiology Pub Date : 2008-01-01 DOI: 10.1111/j.1751-7141.2008.08004.x

Mohammad Ali Kizilbash, Martha L Daviglus, Alan R Dyer, Dan B Garside, Arlene L Hankinson, Lijing L Yan, Lu Tian, Linda Van, Renwei Wang, Philip Greenland

{"title":"Relation of heart rate with cardiovascular disease in normal-weight individuals: the Chicago Heart Association Detection Project in Industry.","authors":"Mohammad Ali Kizilbash, Martha L Daviglus, Alan R Dyer, Dan B Garside, Arlene L Hankinson, Lijing L Yan, Lu Tian, Linda Van, Renwei Wang, Philip Greenland","doi":"10.1111/j.1751-7141.2008.08004.x","DOIUrl":"https://doi.org/10.1111/j.1751-7141.2008.08004.x","url":null,"abstract":"The authors investigated the association of resting heart rate (RHR) with cardiovascular disease (CVD) risk factors and mortality among normal-weight individuals. Using data from our cohort (baseline examination in 1967-1973), individuals with a body mass index of 18.5 to 24.9 kg/m(2) (men [n=3724] and women [n=4929] aged 18-39; men [n=1959] and women [n=3735] aged 40-59), were grouped by RHR: <75, 75-84, and > or =85 beats per minute (bpm). A lower RHR was associated with lower mean blood pressure (BP) and cigarette use in each subgroup and total cholesterol (TC) and diabetes in men (P<.05). After a 32-year follow-up, hazard ratios (95% confidence intervals) for CVD mortality for an RHR <75 compared with > or =85 bpm adjusted for age, race, education level, BP, cigarette use, diabetes, and TC were 0.58 (0.34-0.84), 0.73(0.56-0.95), and 0.77 (0.61-0.98) for men aged 18 to 39 and men and women aged 40 to 59, respectively. In women aged 18 to 39, the relationship was not significant. In general, normal-weight individuals with lower RHRs have lower levels of CVD risk factors and mortality.","PeriodicalId":83876,"journal":{"name":"Preventive cardiology","volume":"11 3","pages":"141-7"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1751-7141.2008.08004.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37434590","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}

引用次数: 15