什么时候初级预防会侵犯二级预防?
Matthew R Deshotels1, Prasanti Alekhya Kotta1, Juan Simon Rico Mesa1
1Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Current atherosclerosis reports
|July 8, 2024
概括
在初级预防中,某些人患动脉样硬化心血管疾病 (ASCVD) 的风险与二级预防中的风险相似. 冠状动脉 (CAC) 评分可以识别这些高风险的初级预防患者,以更好地降低风险.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗成像医学成像
背景情况:
- 动脉样硬化心血管疾病 (ASCVD) 的初级预防通常涉及比二次预防更低的风险.
- 在初级预防中存在各种风险,一些人接近二级预防风险水平.
研究的目的:
- 审查一级预防ASCVD风险反映二级预防风险的临床情况.
- 在初级预防队伍中识别高风险个体.
主要方法:
- 在ASCVD预防中对临床条件和风险分层策略的审查.
- 对冠状动脉 (CAC) 评分进行初级预防风险评估的分析.
主要成果:
- 冠状动脉 (CAC) 评分≥300AU表明ASCVD事件率与二次预防人群相比较.
- CAC分数≥1,000AU与ASCVD风险相关,在非常高风险的二次预防组中观察到.
- 当前的指导方针可能无法完全捕捉某些初级预防患者的高风险状态.
结论:
- 确定具有与二次预防相当的ASCVD风险的初级预防患者至关重要.
- 使用CAC评分等工具可以实现更精确的风险分层和有针对性的缓解策略.
- 根据个体风险概况量身定制干预措施可以改善ASCVD预防结果.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K


