Interdisciplinary Approach to Cardiovascular Diseases for Research and Everyday Clinical Practice Purposes

2016 ◽  
pp. 339-371
Author(s):  
Aleksander Goch ◽  
Anna Rosiek ◽  
Krzysztof Leksowski ◽  
Emilia Mikołajewska
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Cardiovascular Diseases ◽  
Interdisciplinary Approach ◽  
Social Awareness ◽  
Modifiable Risk Factors ◽  
Cvd Prevention ◽  
Interdisciplinary Effort ◽  
Professional Resources ◽  
Prevention And Therapy

Cardiovascular Diseases (CVD) are perceived a leading cause of death globally. Scientists and clinicians still search for more efficient prevention, treatment, rehabilitation and care programs suitable for patients with CVD. Common social awareness and interdisciplinary effort may significantly improve current situation, but the problem is more complex. This chapter, based on research and own experiences of authors, tries to answer the question: how maximize professional resources and optimize outcomes in clinical practice. Aim of this chapter is discuss current issues which may potentially influence efficiency of CVD prevention and therapy, including prevention, modifiable and non-modifiable risk factors, ways of cardiac rehabilitation (CR) and cardiac telerehabilitation (CTR), influence of researcher-subject relationship and patient-therapist relationship as far as placebo effect.

Interdisciplinary Approach to Cardiovascular Diseases for Research and Everyday Clinical Practice Purposes

2019 ◽  
pp. 139-171
Author(s):  
Aleksander Goch ◽  
Anna Rosiek ◽  
Krzysztof Leksowski ◽  
Emilia Mikołajewska
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Cardiovascular Diseases ◽  
Interdisciplinary Approach ◽  
Social Awareness ◽  
Modifiable Risk Factors ◽  
Cvd Prevention ◽  
Interdisciplinary Effort ◽  
Professional Resources ◽  
Prevention And Therapy

Cardiovascular Diseases (CVD) are perceived a leading cause of death globally. Scientists and clinicians still search for more efficient prevention, treatment, rehabilitation and care programs suitable for patients with CVD. Common social awareness and interdisciplinary effort may significantly improve current situation, but the problem is more complex. This chapter, based on research and own experiences of authors, tries to answer the question: how maximize professional resources and optimize outcomes in clinical practice. Aim of this chapter is discuss current issues which may potentially influence efficiency of CVD prevention and therapy, including prevention, modifiable and non-modifiable risk factors, ways of cardiac rehabilitation (CR) and cardiac telerehabilitation (CTR), influence of researcher-subject relationship and patient-therapist relationship as far as placebo effect.

Controlling Hypertension and Stroke Prevention – From Guideline to Clinical Practice

2011 ◽  
Vol 3 (1) ◽  
pp. 30
Author(s):  
Anding Xu ◽  
Zefeng Tan ◽  
◽  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Clinical Trials ◽  
Clinical Practice ◽  
Stroke Prevention ◽  
Modifiable Risk Factors ◽  
Cerebrovascular Events

Hypertension is the most important of the prevalent and modifiable risk factors for stroke. Based on evidence, blood pressure (BP) lowering is recommended in guidelines for the prevention of stroke. However, there are still some uncertainties in the guidelines for controlling BP and preventing stroke in patients with previous cerebrovascular events, such as the goal BP, who to treat and which class of BP-lowering drugs to use. This article discusses these questions by reviewing guidelines and corresponding clinical trials, with the aim of reducing the gap between guidelines and clinical practice.

Prevention of atrial fibrillation – non-modifiable and modifiable risk factors for AF

2020 ◽  
Vol 2 (55) ◽  
pp. 14-19
Author(s):  
Agnieszka Wojdyła-Hordyńska ◽  
Grzegorz Hordyński
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Combined Treatment ◽  
Lifestyle Changes ◽  
Modifiable Risk Factors

Atrial fibrillation is one of the most common arrhythmias, with a significant increase in incidence in recent years. AF is a major cause of stroke, heart failure, sudden cardiac death, and cardiovascular disease. Timely intervention and modification of risk factors increase chance to stop the disease. Aggressive, multilevel prevention tactics are a component of combined treatment, including – in addition to lifestyle changes, anticoagulant therapy, pharmacotherapy and invasive anti-arrhythmic treatment – prevention of cardiovascular diseases, hypertension, ischemia, valvular disease and heart failure.

scholarly journals Fatores de risco para doenças cardiovasculares em idosos

2017 ◽  
Vol 11 (12) ◽  
pp. 4895
Author(s):  
Jerry Deyvid Freires Ferreira ◽  
Rafaella Pessoa Moreira ◽  
Tibelle Freitas Maurício ◽  
Paula Alves de Lima ◽  
Tahissa Frota Cavalcante ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Cardiovascular Health ◽  
The Elderly ◽  
Elderly Subjects ◽  
Modifiable Risk Factors ◽  
Patient Identification ◽  
Chi Square ◽  
Cross Sectional ◽  
Factores De Riesgo

RESUMOObjetivos: avaliar as condições de saúde cardiovascular e identificar os fatores de risco modificáveis para doenças cardiovasculares em idosos. Método: estudo quantitativo, transversal e descritivo com 246 idosos. Aplicou-se um formulário com questões abertas, referentes à identificação do paciente, relacionando dados sociodemográficos, fatores de risco e informações sobre as condições de saúde. Para análise dos dados, realizou-se o teste Qui-Quadrado de Pearson. Resultados: 75,7% dos participantes eram mulheres, 94,3% aposentados. O uso de bebidas alcoólicas, fumo ativo e passivo foram referidos, respectivamente, por 8,9%, 11,8% e 18,3% dos entrevistados. A pressão arterial esteve alterada em 58,6% dos idosos na primeira avaliação, 81,8% na segunda e 74,3% na terceira. Conclusão: foi possível traçar o perfil da saúde cardiovascular e dos fatores de risco modificáveis para as doenças cardiovasculares na população idosa, que subsidiarão de base para intervenções voltadas à promoção da saúde e prevenção dos agravos. Descritores: Enfermagem; Idosos; Doenças Cardiovasculares.ABSTRACTObjectives: to evaluate cardiovascular conditions and to identify modifiable risk factors for cardiovascular diseases in the elderly. Method: descriptive, cross-sectional and quantitative study with 246 elderly subjects. A questionnaire with open questions regarding patient identification was applied, relating sociodemographic data, risk factors and information on health conditions. For data analysis, the Pearson Chi-Square test was performed. Results: 75.7% of the participants were women, 94.3% were retired. Alcohol consumption, active and passive smoking were reported, respectively, by 8.9%, 11.8% and 18.3% of respondents. Changes in blood pressure were identified in 58.6% of the elderly in the first evaluation, 81.8% in the second and 74.3% in the third evaluation. Conclusion: it was possible to outline the profile of cardiovascular health status and of modifiable risk factors for cardiovascular diseases in the elderly population, which will support interventions aimed at health promotion and disease prevention. Descriptors: Nursing; Elderly; Cardiovascular Diseases.RESUMENObjetivos: evaluar las condiciones de salud cardiovascular e identificar los factores de riesgo modificables para enfermedades cardiovasculares en ancianos. Método: estudio cuantitativo, transversal y descriptivo con 246 ancianos. Se aplicó un formulario con preguntas abiertas, referentes a la identificación del paciente, relacionando datos sociodemográficos, factores de riesgo e informaciones sobre las condiciones de salud. Para análisis de los datos, se realizo el test Chi-Cuadrado de Pearson. Resultados: 75,7% de los participantes eran mujeres, 94,3% jubialdos. El uso de bebidas alcohólicas, fumador activo y pasivo fueron referidos, respectivamente, por 8,9%, 11,8% y 18,3% de los entrevistados. La presión arterial estuvo alterada en 58,6% de los ancianos en la primera evaluación, 81,8% en la segunda y 74,3% en la tercera. Conclusión: fue posible trazar el perfil de la salud cardiovascular y de los factores de riesgo modificables para las enfermedades cardiovasculares en la población anciana, que subsidiarán de base para intervenciones dirigidas ala promoción de la salud y prevención de los problemas. Descriptores: Enfermería; Los Ancianos; Enfermedades Cardiovasculares.

scholarly journals Knowledge, Attitude and Practice Regarding Modifiable Risk Factors of Cardiovascular Diseases Among Adults in Rural Community, Lahore

2018 ◽  
Vol 5 (3) ◽  
pp. 76-82 ◽  
Author(s):  
Sumaira Ejaz ◽  
Muhammad Afzal ◽  
Muhammad Hussain ◽  
Hajra Sarwar ◽  
Syed Amir Gilani
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Rural Community ◽  
Good Health ◽  
Cross Sectional Study ◽  
Modifiable Risk Factors ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Community People ◽  
Knowledge Attitude And Practice

Background: Cardiovascular diseases (CVD) are group of disorders of heart, blood and vessels. Major risk factors are hypertension, cigarette smoking, high fat, diabetes, obesity and physically inactive. In Pakistan, prevalence data for the Cardiovascular disease is sparse, and literature indicates that there is 30-40% of all deaths in Pakistan due to cardiovascular diseases. Objective: To assess the knowledge, attitude and practice regarding modifiable risk factors of cardiovascular diseases among adults in rural community, Lahore. Methods: This was descriptive cross-sectional study. Convenient sampling was used. Data were collected from adults of rural community Lahore. The sample size was 110. KAP questionnaire was used to collect the data. Ethical permission was obtained and data was analyzed by SPSS version 21. Results: The findings of the research were good knowledge with (67%) high response of correct answer of “Smoking is risk factor of CVD”. The attitudes were negative, (28%) high correct response for “Do exercise for good health”. The practices were very poor regarding the risk-factors of cardiovascular diseases.Conclusion: The knowledge of participants towards the risk factors of cardiovascular diseases was somehow better. The attitude was comparatively negative and practices were poor. No one was following regular exercises, dietary modifications, manage stress and smoking. Rural community people should modify their lifestyle to improve their practices. There is need for health education campaign in the rural community to minimize the risk factors of cardiovascular diseases.Int. J. Soc. Sc. Manage. Vol. 5, Issue-3: 76-82 

scholarly journals Risk factors of arterial hypertension in patients with nonalcoholic fatty liver disease.

2018 ◽  
Vol 96 (6) ◽  
pp. 537-543
Author(s):  
E. V. Sevostyanova ◽  
V. Ya. Polyakov ◽  
Yu. A. Nikolaev ◽  
I. M. Mitrofanov
Keyword(s):  
Risk Factors ◽  
Liver Disease ◽  
Cardiovascular Diseases ◽  
Arterial Hypertension ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Density Lipoprotein ◽  
Modifiable Risk Factors ◽  
Alcoholic Fatty Liver ◽  
Alcoholic Fatty Liver Disease

Purpose of the study. To study frequency of occurrence and values ofparameters of the main risk factors for cardiovascular diseases in patients with hypertension in combination with non-alcoholic fatty liver disease. Material and methods. The analysis of 17,202 medical cards of patients (6,730 men, 10,472 women), which were examined and treated in the clinic of the Scientific Research Institute of Experimental and Clinical Medicine, Novosibirsk, was carried out. Of them - 3,087patients with arterial hypertension (AH), combined with non-alcoholic fatty liver disease (NAFLD) (main group); 13,384 patients with isolated arterial hypertension; 731 patients with NAFLD (comparison groups). According to the clinical and laboratory examination, the following risk factors were assessed: high blood pressure, obesity, elevated blood levels of total cholesterol, low-density lipoprotein cholesterol, triglycerides, glucose, uric acid, a low content of high-density lipoprotein cholesterol in the blood. Results. In patients with hypertension combined with NAFLD, in comparison with patients with isolated diseases, an increase in the values of the indices determining the main modifiable risk factors for cardiovascular diseases (hypertension, obesity, hyperglycemia, hypercholesterolemia, hyperuricemia) was revealed. Similar changes were detected in both men and women. Conclusion. An important role of risk factors for cardiovascular diseases, which together represent the clinical manifestations of the metabolic syndrome, has been identified in the development of comorbid pathology - AH and NAFLD. The data obtained indicate the need for differentiated, personified prevention and treatment of patients with this comorbid pathology with mandatory identification and correction of modifiable risk factors for cardiovascular diseases.

scholarly journals Prevalence of Modifiable Risk Factors among Acute Coronary Syndrome Patients in a Tertiary Care Hospital

2021 ◽  
pp. 765-772
Author(s):  
I. Mariraj ◽  
M. Naveen Kumar ◽  
N. S. Ani Rubitha ◽  
R. Rameshwar
Keyword(s):  
Risk Factors ◽  
Acute Coronary Syndrome ◽  
Cardiovascular Diseases ◽  
Great Reduction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Modifiable Risk Factors ◽  
Care Hospital ◽  
Mortality And Morbidity ◽  
Coronary Syndrome

Background and Objectives: Acute Coronary Syndrome (ACS) is one of the major causes for mortality and morbidity among the cardiovascular diseases in India. In this study the modifiable risk factors leading to ACS are considered and its prevalence in a Tertiary care hospital is studied. Materials and Methods: This is a prospective type of study conducted in a tertiary care hospital. A total of 100 patients diagnosed with ACS were taken in this study. Their data was taken, and results were formulated in excel data sheet. Results: Among the UA patients, 65% were found to be dyslipidaemic, 60% as obese, 45% as diabetics, 47.5% as hypertensive and 40% as smokers. Among the NSTEMI patients, 66.67% were found to be dyslipidaemic, 52.78% as hypertensive, 44.44% as smokers, 30.56% as diabetics and 27.78% as obese. Among the STEMI patients, 37.50% were found to be dyslipidemic, 25% as both diabetic and obese, 20.83% as hypertensive,12.5% as smokers. Hypertension, dyslipidemia, smoking and obesity showed significance. Conclusion: The prevalence of modifiable risk factors is a major concern for developing ACS and when they are modified there will be a great reduction in the incidence of ACS.

scholarly journals Lifelong prevention of cardiovascular disease. Part I: preconceptional, prenatal and infant periods of life

2020 ◽  
Vol 19 (6) ◽  
pp. 2647
Author(s):  
O. V. Kopylova ◽  
A. I. Ershova ◽  
A. N. Meshkov ◽  
O. M. Drapkina
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Preventive Measures ◽  
Cumulative Effect ◽  
Life Stages ◽  
Beneficial Effects ◽  
Cvd Prevention ◽  
Prevention Of Cardiovascular Disease

Current prophylactic actions prevent or significantly delay the majority of cardiovascular diseases (CVD). Various factors are interconnected and affect a person throughout his life, determining the risk of CVD. This indicates the need for preventive measures at all stages of life and even before birth. The beneficial effects of CVD prevention are realized through various genetic, epigenetic and metabolic mechanisms. Due to the fact that many risk factors for CVD have a cumulative effect, the introduction of preventive measures from the earliest life stages will be most effective. The purpose of the article is to consider various aspects of CVD prevention in the preconceptional, prenatal and infant periods.

scholarly journals Risk Factor Management in Atrial Fibrillation

2018 ◽  
Vol 7 (2) ◽  
pp. 118 ◽  
Author(s):  
Axel Brandes ◽  
Marcelle D Smit ◽  
Bao Oanh Nguyen ◽  
Michiel Rienstra ◽  
Isabelle C Van Gelder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Management Strategy ◽  
Oral Anticoagulant Therapy ◽  
Rhythm Control ◽  
Current Evidence ◽  
Modifiable Risk Factors ◽  
Early Management ◽  
Risk Factor Management

Atrial fibrillation (AF) is the most common clinical arrhythmia and is associated with increased morbidity and mortality. There is growing evidence that numerous cardiovascular diseases and risk factors are associated with incident AF and that lone AF is rare. Beyond oral anticoagulant therapy, rate and rhythm control, therapy targeting risk factors and underlying conditions is an emerging AF management strategy that warrants better implementation in clinical practice. This review describes current evidence regarding the association between known modifiable risk factors and underlying conditions and the development and progression of AF. It discusses evidence for the early management of underlying conditions to improve AF outcomes. It also provides perspective on the implementation of tailored AF management in daily clinical practice.

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