Cardiovascular Risk: A Paradigm Shift and New Global Challenge for Health Professionals

心血管危險性：模式的變換與對健康專業人士新的全球性挑戰

Norman Sharpe

《Acta Cardiologica Sinica》 22卷1期 (2006/03) Pp. 1-7

摘要

心血管疾病的負擔在全球持續增加，尤其是開發中國家。目前的心血管疾病危險性的模式，認知遺傳與環境因子間的交互作用與整合所有危險因子以估計絕對危險性當為個人危險處理起始點的重要性。確保最佳的改善需要在整體心藏健康，從民眾健康到臨床照顧，有平衡的資源與行動。履行以實證醫學為根據的心血管危險性評估與處理準則提供個人與大眾在合理時間內達到顯著心臟健康進步的可能性。上述執行需要前瞻性與有系統的在社區進行，必須順應不同的狀況從基層照顧給予適當的資源以確保成功。必要有領導能力與團隊合作經由前導性的示範計畫，以使其成為例行執業的一部份，來啟動此過程。

關鍵字

心血管危險性 ； 整體心臟健康 ； 指導準則的履行

並列摘要

The burden cardiovascular disease continues to increase worldwide particularly in developing countries. The current paradigm for cardiovascular disease risk recognises the interaction between genetic and environmental factors and the importance of integrating all risk factors into an estimate of absolute risk as a starting point for risk management in individuals. Balanced resourcing and actions the heart health continuum from population health to clinical care are required to ensure optimal improvements. Implementation of evidence-based cardiovascular risk assessment and management guidelines offers the possibility of achieving significant heart health gains for individuals and population groups in a reasonable period of time. Such implementation will require a prospective and systematic approach in the community through primary care necessarily adapted in different settings with adequate resourcing for success. Leadership and teamwork are necessary to initiiate the process through pilot-demonstration projects with a view to making it part of routine practice.

並列關鍵字

Cardiovascular risk ； Heart health continuum ； Guideline implementation