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In Clinical Practice: Cardiovascular Risk Management

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In Clinical Practice: Cardiovascular Risk Management

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定 价:¥228.00

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出版时间:2006年12月19日

I S B N:9780443101748

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内容简介

内容简介

For many years, individual cardiovascular risk factors have been dealt with in isolation, often by specialists with an interest in one particular risk factor, for example hypertension or hypercholesterolaemia. There has recently been a move to emphasise the importance of reducing global cardiovascular risk, which requires clinicians to address any one of a number of different risk factors. The interplay between these various factors is important in our understanding of development of cardiovascular disease and, similarly, the synergistic effects of targeting different risk factors is important in risk reduction. This text provides a comprehensive and up-to-date review of modern cardiovascular risk management. It belongs to the 'In Clinical Practice' series, which incorporate multiple illustrations using novel and effective formats. Data are frequently presented as bullet point lists or tables so that the key information is clearly available. The emphasis is on overall cardiovascular risk reduction throughout, with integration of lifestyle and pharmacological interventions.

  • Jointly written by specialists and GPs to provide cutting edge information tailored perfectly for the primary care setting
  • Include management algorithms to provide quick reference treatment pathways
  • Credible evidence-based sources - when possible, evidence base for best practice by reference to primary research or international guidelines
  • Bullet lists and short tables for clear presentation of key information

作者简介

目录

INTRODUCTION
Epidemiology
Morbidity
Financial impact
CARDIOVASCULAR DISEASE PREVENTION
Risk factors for cardiovascular disease
Overall cardiovascular risk prediction
Summary
LIFESTYLE
Impact of lifestyle on cardiovascular risk factors
Dietary supplements
Implementing lifestyle changes
Conclusion
SMOKING CESSATION
Induction of a hypercoagulable state
Reduction tissue oxygen delivery
Haemodynamic effects
Endothelial dysfunction
Benefits of smoking cessation
Nicotine replacement therapy
Bupropion
Combined nicotine replacement therapy and bupropion
OBESITY
DIABETES MELLITUS
Epidemiology
Financial burden of diabetes
Diabetes as a cardiovascular risk factor
Early detection of diabetes by screening
Assessing cardiovascular risk and prognosis
Microalbuminuria
Diabetic nephropathy
Need for specialist intervention
Summary
DYSLIPIDAEMIA
Dyslipidaemia and cardiovascular risk
Prevalence of dyslipidaemia
Definition and diagnosis of dyslipidaemia
Reducing the risk
Conclusions
HYPERTENSION
Definition of hypertension
Prevalence of hypertension
Measurement of blood pressure
Making a clinical diagnosis of hypertension
Pathogenesis of hypertension
Initial assessment in hypertension
Treatment of hypertension
Postural hypotension
Need for specialist intervention
Importance of hypertension as a cardiovascular risk factor in diabetes
Hypertension in patients with renal disease
Hypertension in obese patients
Conclusions
ANTIPLATELET THERAPY
Dual antiplatelet therapy
PATIENT ISSUES AND COMPLIANCE
CONCLUSION

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