CVD筛查筛查人群及工具的确定

howtodevelopawomen’scvdhealthprojectinwesterncountries:

prospectsandactuality

c.noelbaireymerzmdwomen’sguildendowedchairinwomen’shealthwomen’sheartcenterpreventiveandrehabilitativecardiaccenterheartinstitutecedars-sinaimedicalcentermerz@忘瞥级楞划绅劳镑敛俞善阳据贪移舷虽鼠荣冉谍疫衷疡葫铱撂每掂燕母阳cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定theproblem:incidence盖题吉姐稻涩厩溜扼陇庙乳筹侵篓汽藐另仲有油鹃颓涝抗莫皮乔喧任蔫攻cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定twodiseasesandtheirtoll01.252.53.7550510150408012006001200180015-2425-4445-6465andoverage(years)rateper100,000heartdiseasebreastcancermortalityratesper100,000womenintheunitedstatesmorewomendieofchdthanbreastcanceratallagesmurphysl.death:finaldatafor1998.natlvitalstatrep2000;48:1-105吾芍棕抑柞怠吗编溃烦撬浪袱阿着赚妇唉橡情盔促幼整赠蚕钎陆罕均锐亲cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定whatcanwedo?usaorganizations:nhlbiahaaccsistertosistervhawomen’sheartadvantageprogramwomenheart嚣壹寄刁戚髓俐韦隧卡藤汛警晤紫隧眨缆泅竭念征查季素间挥懦崔辕冉预cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定women’scvdhealthprojectawarenessdetectionhealthcareprovidereducationdiagnosisandtreatmentresearch驻泌胆忱桃呆鉴叔候役舜尺奶厂恨坚钝仍吭陀种堰贯淮榷肺撑砰诸尺住肠cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定women’scvdhealthprojectawarenessdetectionhealthcareprovidereducationdiagnosisandtreatmentresearch夯浑丰呀原膀履闸屠揍献雾集莱芒乡康扎疟壶栽受琶癌式匡寄边耐盲卉氧cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定theproblem:awareness78%believebreastcancerisgreatestthreat<10%believeheartdiseaseisathreat18%incidence;4%mortality50%incidence;37%mortalityperception reality症席邀幼虑休巾欺长偿较疟雁腺萝队居审想碟蔽北诡炙如阎斡雇沦棘都错cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定nationalheart,lungandbloodinstitute

(nhlbi):thehearttruthreddress

collection(2001,2004,2007)

井垛鞋碱侵戚疟造序御盘驳沽硒硒象迭碱拉伯丧婉燥销韦逸觉爵厨绿久草cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定womenandcvd:

makinganimpactamercianheartassociation(aha)nationalawarenesssurvey1997–30%awareheartdiseaseis#1killer2000–34%2003–46%knowledgegapremains–especiallyinwomenyoungerthan45,hispanic,andafricanamericanwomen“disconnect”remains–only13%sayheartdiseaseistheirowngreatesthealthrisk梧闹要泪戌纪檀记旗峰帛鸥壬屯守喂转撤降侈杀奄囚扼去灾防芹倒稚绝暗cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定women’scvdhealthprojectawarenessdetectionhealthcareprovidereducationdiagnosistreatmentresearch姥漠隐猜唆眷钒疗莽爷坚抚捏虑蜕城睁姚黑牡抡淮惶皋鞭滔棋配妓升呸雀cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定heartriskassessment80%ofwomensurveyedhadcardiacriskfactors(age,smoking,physicalinactivity,obesity,hypertension,diabetes,familyhistory,dyslipidemia)fewwomenhaddiscussedcardiacriskwithhealthcareprovidemostwereinterestedinmoreinformationandscreeningforriskcsmcunpublishedvhawomen’sheartadvantagesurveydata礁梅漫弥播蟹援胡稻疟生痢犯力硕始涕换雨赊蓄喂齐蚊赣喳侈浩型贝迫羽cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定cvdriskassessmentwomenandcvdwellnessprogrampenandpencilriskfactorassessmentbmi,waistcircumferenceandbloodpressurefingerstickbloodcholesterolandsugarcardiacriskandhearthealthylifestylecounselingreferralforphysicianevaluation,ifappropriate竹涯侨灵落契树顿咽的更排牡葫俺钡怎植狰坦涤褐踪牟镁急兑悬忌夷缎喂cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定

nationaldayofcvdscreeningforwomenstartedbyawomanwhosedaughterdiedofheartdiseaseconcurrentlyheldonaweekdayacrossmostmajoruscitiesleadershipexecutivewomen’sbreakfasttoengageinvolvement,sponsorshipandemployersupportlocalmedicalandcorporatesponsorson-sitescreeningandreferraldonatedbyhealthcaresystemhealthfareandexposcreeningdataarepublishedinthejournalofwomen’shealthonfebruary27&28,2008,incenturycity,thesistertosisterfoundation,thelosangeleslakers,thecenturycitychamberofcommerceandcenturyparkwillundertaketheextraordinarytaskofproviding1,000freecardiacscreeningstowomeninlosangelesinmemoryofthe1,000womenwhowillbetakenbyheartdiseasethismonth.世珠拯述挑贯厅莉帅箩域财楚已擦齿锡愚淑寡是潞滑毫薄霜钵宽褐塌串涯cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定howcaniknowmyheartdiseaserisk?visitthewomen’shealthwellnessboothandsignupforascreening胸藻崇根养蔽离贷鸵忙数氢权咯布姥屁裸敢夯墟滑滨劳落缸孰添状怠精矣cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定women’scvdhealthprojectawarenessdetectionhealthcareprovidereducationdiagnosisandtreatmentresearch难钥狡蔚捍瑚掏抒述攘筹议据听抗葬益妊拽掸铸际烹匆迫教靡拎石轴岁玄cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定

nationwideprogram,locallydeliveredleadby“betterpractice”cliniciansandhospitalspatientandcommunitycenteredcustomizableforthehealthcareorganizationorcommunitymeasurablesystemsorientedscientificallyvalid徽丙耶藤握开娜怪挪傈账妨基绎刺勘犊谍彤噬体贴德斗云迪抉柴俱树霍眉cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定topfiveelementsparamedics/emergencyresponseemergencydepartmentprotocolscontinuingmedicaleducation(cme/ceu)forhealthcareprovidersclinicalqualityindicatorsforacutemyocardialinfarction(ami)discharge/physiciancare反詹焊衅凝撼凸幅馅凿俭芯杭去络淀骨矽傈诌晴酌求椽腻颠族旨扣拯砷臻cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定mortalityforwomenandmenpost-ami*andafteradjustmentbyriskscore†womenhavehigherchdmortality*p<0.001;†p<0.002.womenmen50403020100afteradjustmentbyriskscore12243648(%)50403020100post-ami12243648(%)烟绽墓撵筛底由湍费沛任盐撂烹炳膘械努臻欠咐板善奎釉汐钩堵忍婴体屋cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定acc/ahapocketguidelines“guidelinesforthemanagementofpatientswithacutemyocardialinfarction”“guidelinesforthemanagementofpatientswithacutecoronarysyndromes”availableforpalm/visorhandhelds,assmalllaminatedpocketsizebooklets,oraspostersthatcanbepostedinedroomsorintriagearea.availabledownloadedfromthewebatororbycallingtheamericancollegeofcardiologyresourcecenter1-800-253-4636,ext694咐吾于虑越暮陋谣仓韵各欺膊锰诱盼悄募射郴衬辐鼠友瑞之泄良苇肉待怕cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定韦栓钦懒蜜款梯直稽窑桥士斩判称东茵盾讽榨鳞食亿偏肥凯滴文灸盗宾憨cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定genderdifferencesinedcareforcvsymptoms:womenreceivelessassessmentforcvsymptomsmckinlayjfl,jhealthandsocialbehavior1996;37:1粱罪每滋表塞屯驴是捷驻琢碴喉守耙局妥舍绅瘤尘屿甚灶僳勤城悔秀脖兴cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定proportionaleffectsoftreatmentstrategiesonmortalityantiplateletbetablockercalciumblockerfibrinolyticsstreptokinasetpavs.skthrombolyticaceinhibitors00.511.52or(95%ci)00.511.52or(95%ci)womenmenfavorstreatmentfavorscontrolfavorstreatmentfavorscontrolmitreatment:womenandmenhavesimilarriskbenefit效前舔她衔珐锗煤得羽耘骤美唬峪虾齿捻竿伐点血馈论涤柒积魄达四沁答cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定demographics

lipidrxatdischargeoverall 31.7% male 34.8% female 26.8% non-black 31.9% black 28.9%

percentofpatientsdischargedonlipidloweringtherapyfonarow,watson,french.presentedacc2001;orlando,fl锁谆多策佛坛篷酵疫永京转唱四想滤叁牢鞍滤闽氖郝夜玫镊舞泌蒸甫纵悠cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定exampleofmyocardialinfarctionautomatedordersguidelinecareisdeliveredunlessphysiciancancelsit抗钦买裸肥宜窃焰股诱辉孙碾努智蚂鲍病尉雄坞炭裕逼蓖姓暇达畦边搅侮cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定optimizingphysiciancvdmanagement

identifyacardiologistchampionorgrouptoworkwithhospitaltoestablishguidelinesandeducate(cme)tootherphysiciansandhealthcareprovidersprovideguidelinematerialsandautomatedprotocolsregardingwomenandheartdiseasetophysiciansandalliedhealthcareprofessionals抓撂蔑左群邢新酝萎参泅般暗窿寒磺兵掘戎源敏找内暗炎映缓阀变禄例释cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定oldboysclub-12%ofuscardiologistsarewomenchampionscanbemenwhoareinterestedinquality啄留唉掖柜奏姿钙反夺憨甸突阳篡行柑奴冬戈提秩煌痴摩巢腰铬亨典裹驰cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定women’scvdhealthprojectawarenessdetectionhealthcareprovidereducationdiagnosisandtreatmentresearch参醚诈恭茁子典煤泛骏炮朔馆盐淄棋抢倦子热选匪综卧夫柠钎呈懈患规诚cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定nytimesobstructivecadmoreprevalentinmenmicrovascularcoronarydiseasemoreprevalentinwomen懈蛛锯卉生敢蓝怪蛹极渍翟瑚揍焕珐遭社它废启架颜爸般历咙姆辞派讨骄cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定维儒认阴稠农合外匀套远竖放苫灵稀拧意旨盅蜒臆辽众孙偶谚坑罗诺邑驴cvd筛查筛查人群及工具的确定cvd筛查筛查人群及工具的确定jachoamicoremeasurescommunityawareness

&riskfactormeasuresasaatarrivalasaatdischargeaceforlvdysfunctionsmokingcessationcounselingbetablockeratarrivalbetablockeratdischargetimetothrombolysis/pciinpatientmortalitydoyouhave:hypertension?highcholesterol?diabetes?afamilymemberwithheartdisease?doyousmoke?whatistheleadinghealththreatforwomen?whatisyourleadinghealththreat?prospectsforimportantsex-stratifiedresearchdatacollection坝殴桑挖链颓竣溺溃琴瓜蛾瓤菇顽筛惨弱鱼综戴演饼