CVD筛查：筛查人群及工具的确定PPT.ppt

How to Develop a Women’s CVD Health Project in Western Countries: Prospects and Actuality C. Noel Bairey Merz MD Women’s Guild Endowed Chair in Women’s Health Women’s Heart Center Preventive and Rehabilitative Cardiac Center Heart Institute Cedars-Sinai Medical Center merz@ The Problem: Incidence Two Diseases and Their Toll 0 1.25 2.5 3.75 5 0 5 10 15 0 40 80 120 0 600 1200 1800 15-24 25-44 45-64 65 and over AGE (years) RATE PER 100,000 HEART DISEASE BREAST CANCER Mortality rates per 100,000 women in the United States More women die of CHD than breast cancer at all ages Murphy SL. Death: final data for 1998. Natl Vital Stat Rep 2000;48:1-105 What Can We Do? USA Organizations: NHLBI AHA ACC Sister to Sister VHA Women’s Heart Advantage Program WomenHeart Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis and Treatment Research National Heart, Lung and Blood Institute (NHLBI): The Heart Truth Red DressCollection (2001, 2004, 2007) Women and CVD: Making an Impact Amercian Heart Association (AHA) National Awareness Survey 1997 – 30% aware heart disease is #1 killer 2000 – 34% 2003 – 46% Knowledge gap remains – especially in women younger than 45, Hispanic, and African American women “Disconnect” remains – only 13% say heart disease is their own greatest health risk Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis Treatment Research Heart Risk Assessment 80% of women surveyed had cardiac risk factors (age, smoking, physical inactivity, obesity, hypertension, diabetes, family history, dyslipidemia) Few women had discussed cardiac risk with healthcare provide Most were interested in more information and