CVD筛查：筛查人群及工具的确定PPT课件.pptVIP

HowtoDevelopaWomen’sCVDHealthProjectinWesternCountries:

ProspectsandActualityC.NoelBaireyMerzMDWomen’sGuildEndowedChairinWomen’sHealthWomen’sHeartCenterPreventiveandRehabilitativeCardiacCenterHeartInstituteCedars-SinaiMedicalCentermerz@

TheProblem:Incidence

TwoDiseasesandTheirToll01.252.53.7550510150408012006001200180015-2425-4445-6465andoverAGE(years)RATEPER100,000HEARTDISEASEBREASTCANCERMortalityratesper100,000womenintheUnitedStatesMorewomendieofCHDthanbreastcanceratallagesMurphySL.Death:finaldatafor1998.NatlVitalStatRep2000;48:1-105

WhatCanWeDo?USAOrganizations:NHLBIAHAACCSistertoSisterVHAWomen’sHeartAdvantageProgramWomenHeart

Women’sCVDHealthProjectAwarenessDetectionHealthcareProviderEducationDiagnosisandTreatmentResearch

NationalHeart,LungandBloodInstitute

(NHLBI):TheHeartTruthRedDress

Collection(2001,2004,2007)

WomenandCVD:

MakinganImpactAmercianHeartAssociation(AHA)NationalAwarenessSurvey1997–30%awareheartdiseaseis#1killer2000–34%2003–46%Knowledgegapremains–especiallyinwomenyoungerthan45,Hispanic,andAfricanAmericanwomen“Disconnect”remains–only13%sayheartdiseaseistheirowngreatesthealthrisk

Women’sCVDHealthProjectAwarenessDetectionHealthcareProviderEducationDiagnosisTreatmentResearch

HeartRiskAssessment80%ofwomensurveyedhadcardiacriskfactors(age,smoking,physicalinactivity,obesity,hypertension,diabetes,familyhistory,dyslipidemia)FewwomenhaddiscussedcardiacriskwithhealthcareprovideMostwereinterestedinmoreinformationandscreeningforriskCSMCunpublishedVHAWomen’sHeartAdvantage