CVD筛查：筛查人群及工具地确定.pptVIP

How to Develop a Women’s CVD Health Project in Western Countries: Prospects and Actuality C. Noel Bairey Merz MD Women’s Guild Endowed Chair in Women’s Health Women’s Heart Center Preventive and Rehabilitative Cardiac Center Heart Institute Cedars-Sinai Medical Center merz@ Two Diseases and Their Toll Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis and Treatment Research Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis and Treatment Research The Problem: Awareness 78% believe breast cancer is greatest threat 10% believe heart disease is a threat 18% incidence; 4% mortality 50% incidence; 37% mortality National Heart, Lung and Blood Institute (NHLBI): The Heart Truth Red DressCollection (2001, 2004, 2007) Women and CVD: Making an Impact Amercian Heart Association (AHA) National Awareness Survey 1997 – 30% aware heart disease is #1 killer 2000 – 34% 2003 – 46% Knowledge gap remains – especially in women younger than 45, Hispanic, and African American women “Disconnect” remains – only 13% say heart disease is their own greatest health risk Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis Treatment Research Heart Risk Assessment 80% of women surveyed had cardiac risk factors (age, smoking, physical inactivity, obesity, hypertension, diabetes, family history, dyslipidemia) Few women had discussed cardiac risk with healthcare provide Most were interested in more information and screening for risk CVD Risk Assessment Women and CVD Wellness Program Pen and pencil risk factor assessment BMI, waist circumference and blood pressure Fingerstick blood cholesterol and sugar Cardiac risk and heart healthy lifestyle counseling Referral for physician evaluation, if appropriate Women’s CVD Health Project Awareness Detection Healthcare Provider Education Diagnosis and Treatment Research Top Five Elements Paramedics/Emergency Response Emergency Department