行为心脏病学:对心脏病学扩展领域的回顾——整体方法。

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Christos Fragoulis, Maria-Kalliopi Spanorriga, Irini Bega, Andreas Prentakis, Evangelia Kontogianni, Panagiotis-Anastasios Tsioufis, Myrto Palkopoulou, John Ntalakouras, Panagiotis Iliakis, Ioannis Leontsinis, Kyriakos Dimitriadis, Dimitris Polyzos, Christina Chrysochoou, Antonios Politis, Konstantinos Tsioufis
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引用次数: 0

摘要

心血管疾病(CVD)仍然是欧洲死亡的主要原因,占死亡人数的45%。除了已知的危险因素(高血压、糖尿病、血脂异常、吸烟、肥胖)外,心理社会因素(抑郁、焦虑、经济压力、人格特征和创伤)也显著影响心血管疾病的发展和进展。行为心脏病学通过系统地将社会心理因素纳入预防和康复方案来解决这种联系。本综述检查了HEARTBEAT模型,该模型由希腊第一个行为心脏病学单位开发,与当前的欧洲指导方针保持一致。该模型具有双重目的:一级预防(针对高危人群)和二级预防(治疗已确诊的心血管疾病患者)。这是一种个性化的医学方法,将社会心理分析与传统的风险评估相结合,利用量身定制的评估工具、护理人员的投入和多学科合作来解决人格特征、情绪状态、社会经济环境和文化背景。该模型强调了三个关键的实施方面:(1)数字健康整合,(2)成本效益分析,(3)医疗系统适应性。与国际方法相比,它突出了社会心理干预方面的研究差距,并倡导对文化敏感的适应,特别是在资源有限的环境中。特别考虑到需要量身定制的护理战略的老年人口。最终,行为心脏病学代表了一种基于系统的变革性方法,将心理学、生活方式医学和心血管治疗联系起来。通过解决心血管健康的生物和社会心理决定因素的个性化干预措施,这种整合可能对优化慢性病管理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Behavioural Cardiology: A Review on an Expanding Field of Cardiology-Holistic Approach.

Behavioural Cardiology: A Review on an Expanding Field of Cardiology-Holistic Approach.

Behavioural Cardiology: A Review on an Expanding Field of Cardiology-Holistic Approach.

Behavioural Cardiology: A Review on an Expanding Field of Cardiology-Holistic Approach.

Cardiovascular disease (CVD) remains Europe's leading cause of mortality, responsible for >45% of deaths. Beyond established risk factors (hypertension, diabetes, dyslipidaemia, smoking, obesity), psychosocial elements-depression, anxiety, financial stress, personality traits, and trauma-significantly influence CVD development and progression. Behavioural Cardiology addresses this connection by systematically incorporating psychosocial factors into prevention and rehabilitation protocols. This review examines the HEARTBEAT model, developed by Greece's first Behavioural Cardiology Unit, which aligns with current European guidelines. The model serves dual purposes: primary prevention (targeting at-risk individuals) and secondary prevention (treating established CVD patients). It is a personalised medicine approach that integrates psychosocial profiling with traditional risk assessment, utilising tailored evaluation tools, caregiver input, and multidisciplinary collaboration to address personality traits, emotional states, socioeconomic circumstances, and cultural contexts. The model emphasises three critical implementation aspects: (1) digital health integration, (2) cost-effectiveness analysis, and (3) healthcare system adaptability. Compared to international approaches, it highlights research gaps in psychosocial interventions and advocates for culturally sensitive adaptations, particularly in resource-limited settings. Special consideration is given to older populations requiring tailored care strategies. Ultimately, Behavioural Cardiology represents a transformative systems-based approach bridging psychology, lifestyle medicine, and cardiovascular treatment. This integration may prove pivotal for optimising chronic disease management through personalised interventions that address both biological and psychosocial determinants of cardiovascular health.

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来源期刊
Journal of Personalized Medicine
Journal of Personalized Medicine Medicine-Medicine (miscellaneous)
CiteScore
4.10
自引率
0.00%
发文量
1878
审稿时长
11 weeks
期刊介绍: Journal of Personalized Medicine (JPM; ISSN 2075-4426) is an international, open access journal aimed at bringing all aspects of personalized medicine to one platform. JPM publishes cutting edge, innovative preclinical and translational scientific research and technologies related to personalized medicine (e.g., pharmacogenomics/proteomics, systems biology). JPM recognizes that personalized medicine—the assessment of genetic, environmental and host factors that cause variability of individuals—is a challenging, transdisciplinary topic that requires discussions from a range of experts. For a comprehensive perspective of personalized medicine, JPM aims to integrate expertise from the molecular and translational sciences, therapeutics and diagnostics, as well as discussions of regulatory, social, ethical and policy aspects. We provide a forum to bring together academic and clinical researchers, biotechnology, diagnostic and pharmaceutical companies, health professionals, regulatory and ethical experts, and government and regulatory authorities.
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