心血管预防指南演示文稿.pptVIP

Influenza vaccination: patients with chronic CV disorders are at increased risks for influenza complications Asian data for BMI photos Lifestyle modification: weight control, increased physical activity, alcohol moderation, sodium reduction, increased fresh fruits and vegetables, and low-fat diary products No change in CV or total mortality No difference in terms of myalgia, rhadomyolysis Mean LDL 104 vs 81 No change in CV or total mortality Guidelines For Cardiovascular Prevention Dr Chan, Ngai Yin, MBBS(HK), MRCP(UK), FRCP(Edin), FACC, FAHA, Associate Consultant, Director, Cardiac Pacing Services, Princess Margaret Hospital 10th South China International Congress in Cardiology, Guangzhou, China, April 12, 2008 CVD and other major causes of death: both sexes.(United States: 2004). Source: NCHS and NHLBI. Causes of Death-US 57% of deaths due to CV diseases Setting the Goal:A History In 1998, the AHA Board of Directors adopted a 2010 Impact Goal: By 2010, to reduce coronary heart disease, stroke and risk by 25%. Risk factors to be measured included: Tobacco Usage High Blood Pressure High Cholesterol Physical Inactivity In 2001, Obesity and Diabetes were added as risk factors. Our goal is to achieve a 0% growth rate in Obesity and Diabetes by 2010. Coronary Heart Disease Mortality 22.8%↓ Stroke Mortality 18.8%↓ AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2006 Update Lifestyle modification Blood pressure control Lipid management Diabetes management Antithrombotic treatment Renin-Angiotensin-Aldosterone system blockade β –blockers Influenza vaccination Lifestyle modification Smoking -complete cessation, avoid environmental exposure Physical activity -30 minutes, 7 days per week (minimum 5 days per week) Weight management -BMI 18.5-24.9kg/m2, waist circumference 40 inches for men, 35 inches for women One-for-all Community-Based Phase 2.5 Cardiac Rehabilitation for Low-risk Patients Pat