Challenges in secondary prevention of cardiovascular diseases A review of the current practice

被引:38
作者
Piepoli, Massimo F. [1 ,14 ]
Corra, Ugo [2 ]
Abreu, Ana [3 ]
Cupples, Margaret [4 ]
Davos, Costantinos [5 ]
Doherty, Patrick [6 ]
Hoefer, Stephan [7 ]
Garcia-Porrero, Esteban [8 ]
Rauchi, Bernhard [9 ]
Vigorito, Carlo [10 ]
Voeller, Heinz [11 ]
Schmid, Jean-Paul [12 ,13 ]
机构
[1] AUSL Piacenza, Guglielmo da Saliceto Hosp, Cardiol Unit, Piacenza, Italy
[2] Fdn Salvatore Maugeri, IRCCS Sci Inst Veruno, Dept Cardiol, Pavia, Italy
[3] Hosp Santa Marta, Dept Cardiol, Lisbon, Portugal
[4] Queens Univ Belfast, UKCRC Ctr Excellence Publ Hlth Res, Dept Gen Practice, Belfast BT7 1NN, Antrim, North Ireland
[5] Acad Athens, Biomed Res Fdn, Cardiovasc Res Lab, Athens, Greece
[6] Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England
[7] Med Univ Innsbruck, A-6020 Innsbruck, Austria
[8] Hosp Univ Leon, Serv Cardiol, Leon, Spain
[9] Inst Herzinfarktforsch Ludwigshafen, D-67063 Ludwigshafen, Germany
[10] Univ Naples Federico II, Dept Translat Med Sci, Naples, Italy
[11] Univ Potsdam, Rehabil Res Ctr, Potsdam, Germany
[12] Univ Hosp Bern, Unit Cardiovasc Prevent & Rehabil, Dept Cardiol, Bern, Switzerland
[13] Univ Bern, CH-3012 Bern, Switzerland
[14] Fdn Toscana G Monasterio, Pisa, Italy
关键词
Cardiac rehabilitation; Cardiovascular risk factor; Long term management; Secondary prevention; HEART-FAILURE PATIENTS; RANDOMIZED CONTROLLED-TRIAL; CARDIAC REHABILITATION; MYOCARDIAL-INFARCTION; EUROPEAN ASSOCIATION; CORONARY; MULTICENTER; GUIDELINES; ADHERENCE; KNOWLEDGE;
D O I
10.1016/j.ijcard.2014.11.107
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
With the changing demography of populations and increasing prevalence of co-morbidity, frail patients and more complex cardiac conditions, the modern medicine is facing novel challenges leading to rapid innovation where evidence and experiences are lacking. This scenario is also evident in cardiovascular disease prevention, which continuously needs to accommodate its ever changing strategies, settings, and goals. The present paper summarises actual challenges of secondary prevention, and discusses how this intervention should not only be effective but also efficient. By this way the paper tries to bridge the gaps between research and real-world findings and thereby may find ways to improve standard care. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:114 / 119
页数:6
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