KattyJamison
Improving Patient Adherence: Practical Strategies for Secondary Prevention
Keith C. Ferdinand, MD; Michael Miller, MD; Kathy Berra, MSN, NP-C
Abstract.
It was previously thought that traditional cardiovascular disease risk factors such as cigarette smoking, diabetes, hypertension, and hyperlipidemia only explained 50% of the risk associated with an initial myocardial infarction (MI). Therefore, studies were done to determine whether and to what extent other factors may play a role in this process. Among the most comprehensive studies addressing this issue was the multinational study called INTERHEART,[1] which evaluated 30,000 patients from 52 countries in North and South America, Europe, Africa, Asia, and Australia. The results from INTERHEART indicate that more than 90% of MI risk can be explained by 9 factors. In addition to the 4 traditional factors described above, central obesity, psychosocial stress, lack of sufficient daily consumption of fruits and vegetables, being sedentary (vs having an active lifestyle), and not drinking alcohol (vs consuming alcohol on a regular basis) contributed to MI risk. These data are important because they demonstrate that the overwhelming majority of MIs are attributable to these 9 modifiable cardiovascular disease risk factors. Therefore, efforts aimed at communicating the important role that intensive lifestyle modification plays in improving cardiovascular disease risk would also be expected to translate into improved patient compliance and should enhance secondary prevention outcomes.
www.medscape.com/viewarticle/489738
www.theheart.org/article/155691.do
К сожалению, никто не может удержаться от того, чтобы всё за читателя "проинтерпретировать"... Надо найти эту статью в первозданном виде.
Keith C. Ferdinand, MD; Michael Miller, MD; Kathy Berra, MSN, NP-C
Abstract.
It was previously thought that traditional cardiovascular disease risk factors such as cigarette smoking, diabetes, hypertension, and hyperlipidemia only explained 50% of the risk associated with an initial myocardial infarction (MI). Therefore, studies were done to determine whether and to what extent other factors may play a role in this process. Among the most comprehensive studies addressing this issue was the multinational study called INTERHEART,[1] which evaluated 30,000 patients from 52 countries in North and South America, Europe, Africa, Asia, and Australia. The results from INTERHEART indicate that more than 90% of MI risk can be explained by 9 factors. In addition to the 4 traditional factors described above, central obesity, psychosocial stress, lack of sufficient daily consumption of fruits and vegetables, being sedentary (vs having an active lifestyle), and not drinking alcohol (vs consuming alcohol on a regular basis) contributed to MI risk. These data are important because they demonstrate that the overwhelming majority of MIs are attributable to these 9 modifiable cardiovascular disease risk factors. Therefore, efforts aimed at communicating the important role that intensive lifestyle modification plays in improving cardiovascular disease risk would also be expected to translate into improved patient compliance and should enhance secondary prevention outcomes.
www.medscape.com/viewarticle/489738
www.theheart.org/article/155691.do
К сожалению, никто не может удержаться от того, чтобы всё за читателя "проинтерпретировать"... Надо найти эту статью в первозданном виде.