Clinical Manual of Total Cardiovascular Risk

ISBN-13: 9781848002524 / Angielski / Miękka / 2009 / 88 str.

Neil Poulter

Opis

Over the last 10 20 years, there has been an increasing appreciation of the need to manage individual risk factors for cardiovascular disease (CVD) in the context of overall cv risk rather than on the basis of the absolute level of any given risk factor. This approach has given rise to the misnomer global risk and gen- ated extensive lip-service around this more broad-minded approach to managing risk factors and the prevention of CVD. This short book was devised with the idea of providing a practical summary of the rationale for management based on estimated total CV risk and the various methods associated with so-doing. Practical issues are addressed including treatment thresholds and targets for the major risk factors on which we routinely intervene, and a brief descr- tion of the major means of these interventions is provided. Whilst a multifactorial approach to CV prevention is logical and reflects the pathophysiological processes which underpin the formation of athe- sclerosis, the evidence base to guide practice using estimated CV risk ( global risk ) as a threshold for intervention is essentially non-existent. Meanwhile, pending supportive evidence from randomized trials, prac- cal, pragmatic, and cost-effective approaches to preventing CVD, which is the current biggest contributor to global mortality and burden of disease, is urgently required. The hope is that this book may make a small contribution toward reducing the horrendous burden which CVD currently imposes on the world."

Recenzje

From the reviews:

"This ... book is a to-the-point summary of everything one must understand about cardiovascular risk. ... This is an extraordinary book that primary care practitioners can easily use to modify the cardiovascular risks of their patients ... . The references are complete and current. This small book is a must for every practitioner who treats cardiovascular disease patients." (Vincent F Carr, Doody's Review Service, March, 2009)

Spis treści

Principles of Total Risk Management.- Identifying the patient at risk.- Strategies for cardiovascular risk management.- Current treatment targets.- The doctor–patient relationship.- Cardiovascular disease prevention: prospects for the future?.

O autorze

Professor Neil Poulter is Professor of Preventative Cardiovascular Medicine and co-Director of the International Center for Circulatory Health, Imperial College London, UK. He is a co-author of the 2003 European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hyptertension among other papers and guidelines documents.

Blurb

Cardiovascular disease (CVD) is a major cause of morbidity and mortality in Western industrialized countries. The management of non-fatal stroke and heart attack consumes a major proportion of current healthcare budgets and has a huge detrimental impact on quality of life for both patients and their relatives. The multifactorial nature of CVD and the interactions between risk factors mean that it is difficult for clinicians to make an intuitive assessment of an individual’s future risk of disease. This has led to the production of a number of guidelines on the prevention of CVD, all of which recommend risk assessment tools to guide primary prevention strategies.

In a practical, easy to digest format, Clinical Management of Total Cardiovascular Risk presents the key data on all aspects of managing cardiovascular disease. Stressing the importance of identifying the patient at risk, Neil Poulter incorporates review of the current guidelines and outlines the options available when diagnosing, managing and treating these patients. Using algorithms to highlight key management decisions, this practical reference will be useful to all in the management of cardiovascular disease from primary care practitioners and physicians in the fields of prevention and rehabilitation to Residents in Internal Medicine and Cardiology.