Cardiovascular disease in the Americas: optimizing primary and secondary prevention of cardiovascular disease series: cardiovascular disease in the Americas

被引：3

作者：

Schwalm, J. D. ^{[1
,2
,3
]}

Joseph, Philip ^{[1
,2
]}

Leong, Darryl ^{[1
,2
]}

Lopez-Lopez, Jose Patricio ^{[4
,5
]}

Onuma, Oyere ^{[6
]}

Bhatt, Palki ^{[1
,2
]}

Avezum, Alvaro ^{[7
]}

Walli-Attaei, Marjan ^{[8
]}

Mckee, Martin ^{[9
]}

Salim, Yusuf ^{[1
,2
]}

机构：

[1] McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada

[2] Hamilton Hlth Sci, Hamilton, ON, Canada

[3] Hamilton Hlth Sci, Ctr Evidence Based Implementat, Hamilton, ON, Canada

[4] Univ Santander UDES, Masira Res Inst, Bucaramanga, Colombia

[5] McMaster Univ, Dept Med, Hamilton, ON, Canada

[6] Massachusetts Gen Hosp, Boston, MA USA

[7] Hosp Alemao Oswaldo Cruz, Int Res Ctr, Sao Paulo, SP, Brazil

[8] Univ Oxford, Hlth Econ Res Ctr, Nuffield Dept Populat Hlth, Old Rd Campus, Oxford, England

[9] London Sch Hyg & Trop Med, Dept Publ Hlth & Policy, London, England

来源：

LANCET REGIONAL HEALTH-AMERICAS | 2025年 / 42卷

关键词：

Cardiovascular disease; Primary prevention; Secondary prevention; Implementation; LOW-INCOME COUNTRIES; BLOOD-PRESSURE; MIDDLE-INCOME; RISK-FACTORS; COST-EFFECTIVENESS; GLOBAL BURDEN; HEALTH; HYPERTENSION; CARE; COMMUNITY;

D O I：

10.1016/j.lana.2024.100964

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

While, many interventions can prevent cardiovascular disease (CVD), and its resulting morbidity or mortality, these are used sub-optimally in most countries. Therefore, health systems need to develop new approaches to ensure that proven CVD therapies are delivered widely. In this review, we describe five impactful implementation strategies which include: (1) Task shifting, (2) Use of mobile-Health (mHealth) support and virtual access to care, (3) simplified diagnostic and management algorithms for the prevention of CVD, (4) improving the use of combinations of medicines (i.e., polypill), and (5) patient engagement and role of patient-nominated peer support (i.e., treatment supporters). Adapting and tailoring these strategies to the local context in different settings in various countries in the Americas and the Caribbean can reduce the morbidity and mortality of CVD substantially. Copyright (c) 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

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