(精选)【英文课件精品课件】CVD and Diabetes Care -The Alphabet Strategy教学课件.pptVIP

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(精选)【英文课件精品课件】CVD and Diabetes Care -The Alphabet Strategy教学课件.ppt

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Steno-2 : CVD Deaths at 13 years Event Conventional Intensive Cardiovascular Deaths P0.05 Reduced by 57%! Steno-2 : 13 years follow up data Event Reduction in Intensive Group All Deaths 46% Cardiovascular Deaths 57% Cardiovascular events 59% End Stage Renal Failure 1 versus 6 patients Retinal Laser Rx 55% P0.05 Steno-2 : Conclusion “ A target driven, long-term, intensified intervention aimed at multiple risk factors in patients with type 2 diabetes and microalbuminuria reduces the risk of cardiovascular and microvascular events by about 50%.” Diabetes Passport Diabetes Polypill? X? Y? Z? A? B? BMJ Polypill Paper SAMTA Pill Statin Aspirin Metformin Thiazide ACE-I or ARB Diabetes Polypill Approach? Indo-linguistically: “equality” ie in terms of reducing morbidity and mortality esp. CVD Single approach Diabetes CHD Stroke Renal A Advice Advice Advice Advice B Blood Pressure Blood Pressure Blood Pressure Blood Pressure C Cholesterol Creatinine Cholesterol Creatinine Cholesterol Creatinine Cholesterol Creatinine D Diabetes control Diabetes control Diabetes control Diabetes control E Eyes ECG / ETT / Echocardiography ECG and other Investigation ESCRD Care ECG, US, ?CT F Feet Functional status and follow up Functional disability management Functional management G Guardian Drugs Guardian Drugs Guardian Drugs Guardian Drugs CVD and Diabetes Care: The Alphabet Strategy ?Vinod PatelBSc (Hons) MD FRCP MRCGP DRCOG Consultant Physician, Diabetes and Endocrinology Associate Professor in Clinical SkillsUniversity of Warwick Medical School Leading causes of mortality Adults, 2002 5823 4692 2399 1398 929 754 735 606 496 478 HIV/AIDS Ischaemic heart disease Tuberculosis Road traffic accidents Cerebrovascular disease Self-inflicted injuries Violence Cirrhosis of the liver Lower respiratory infections Chronic obstruc. pulmonary disease 2279 1331 1037 811 783 672 475 382 352 343 Ischaemic heart disease Cerebrovascular disease Chronic obstruc. pu