2018加拿大初级医疗中心血管疾病的预防和管理指南（更新版）.pdfVIP

GUIDELINE CPD Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update Sheldon W. Tobe MD MScCH, James A. Stone MD PhD, Todd Anderson MD, Simon Bacon PhD, Alice Y.Y. Cheng MD, Stella S. Daskalopoulou MD PhD, Justin A. Ezekowitz MBBCh MSc, Jean C. Grégoire MD, Gord Gubitz MD, Rahul Jain MD MScCH, Karim Keshavjee MSc MD, Patty Lindsay RN PhD, Mary L’Abbé PhD, David C.W. Lau MD PhD, Lawrence A. Leiter MD, Eileen O’Meara MD, Glen J. Pearson PharmD, Doreen M. Rabi MD MSc, Diana Sherifali RN PhD, Peter Selby MBBS MHSc, Jack V. Tu MD PhD,* Sean Wharton MD PharmD, Kimberly M. Walker MPH, Diane Hua-Stewart MPH, Peter P. Liu MD n Cite as: CMAJ 2018 October 9;190:E1192-206. doi: 10.1503/cmaj.180194 CMAJ Podcasts: author interview at /cmajpodcasts/180194-guide he Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE) is a nationally KEY POINTS T endorsed guideline process, targeting primary care • C-CHANGE promotes patient care by bringing nine guideline health care practitioners. The C-CHANGE guideline is a compos- groups together, to provide a composite set of recommendations ite of nine of Canada’s cardiovascular-focused clinical practice to help clinicians formulate a comprehensive treatment plan guidelines (Table 1), chosen to meet primary care needs, directed toward patient priorities. including managing patients with multi ple comorbidities, and • The 2018 update to the C-CHANGE guideline includes a total of since 2011 has been part of Canada’s robust and successful car- 77 recommendations and 52 recommendations that are newly diovascula